NPIMap

Organization Active NPI

John T Randolph Jr DC PC

  • Chiropractor
  • Pearland, TX
National Provider Identifier
1487848750
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5911 Issued in TX
Legal business name
JOHN T RANDOLPH JR DC PC
Practice address
10223 W Broadway St
Suite C
Pearland, TX 77584-7881
Phone
(713) 436-2600
Fax
(713) 436-2645
NPI assigned
Aug 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John T Randolph Jr., DO
Title
President
Phone
(713) 451-1784

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC5911 TX
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5911 TX Primary

Addresses

Primary practice location

10223 W Broadway St
Suite C
Pearland, TX 77584-7881

Mailing address

10223 W Broadway St
Suite C
Pearland, TX 77584-7881
Phone (713) 436-2600

Other names 1

  • Key Health Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

12605 East Fwy
Ste 507
Houston, TX 77015

10223 Broadway St
Ste C
Pearland, TX 77584
Phone (713) 436-2600

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220313600000",
    "number": "1487848750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 W BROADWAY ST",
            "address_2": "SUITE C",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847881",
            "telephone_number": "713-436-2600",
            "fax_number": "713-436-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10223 W BROADWAY ST",
            "address_2": "SUITE C",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847881",
            "telephone_number": "713-436-2600",
            "fax_number": "713-436-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN T RANDOLPH JR DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2008-09-02",
        "status": "A",
        "authorized_official_last_name": "RANDOLPH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-451-1784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5911",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key Health Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.