Active NPI
Benjamin M Meshack, DC
- Chiropractor
- Houston, TX
National Provider Identifier
1487953345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11658
- Practice address
- 11100 Southwest Fwy
Houston, TX 77031-3602 - Phone
- (713) 771-2225
- Fax
- (713) 771-1876
- NPI assigned
- Mar 17, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11658 | TX | Primary |
| Independent Medical Examiner Chiropractor | 111NI0013X | 11658 | TX | |
| Neurology Chiropractor | 111NN0400X | 11658 | TX | |
| Nutrition Chiropractor | 111NN1001X | 11658 | TX | |
| Pediatric Chiropractor | 111NP0017X | 11658 | TX | |
| Radiology Chiropractor | 111NR0200X | 11658 | TX | |
| Rehabilitation Chiropractor | 111NR0400X | 11658 | TX | |
| Sports Physician Chiropractor | 111NS0005X | 11658 | TX | |
| Occupational Health Chiropractor | 111NX0100X | 11658 | TX | |
| Orthopedic Chiropractor | 111NX0800X | 11658 | TX |
Addresses
Primary practice location
11100 Southwest Fwy
Houston, TX 77031-3602
Mailing address
11100 Southwest Fwy
Houston, TX 77031-3602
Phone (713) 771-2225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11658 | Other | TX | TEXAS BOARD OF CHIROPRACTIC EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11658 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452124800000",
"number": "1487953345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11100 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770313602",
"telephone_number": "713-771-2225",
"fax_number": "713-771-1876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 SOUTHWEST FWY",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770313602",
"telephone_number": "713-771-2225",
"fax_number": "713-771-1876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESHACK",
"first_name": "BENJAMIN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-17",
"last_updated": "2016-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11658",
"primary": true
},
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "TX",
"license": "11658",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "TX",
"license": "11658",
"primary": false
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "TX",
"license": "11658",
"primary": false
},
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "TX",
"license": "11658",
"primary": false
},
{
"code": "111NR0200X",
"taxonomy_group": "",
"desc": "Chiropractor, Radiology",
"state": "TX",
"license": "11658",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "11658",
"primary": false
},
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "11658",
"primary": false
},
{
"code": "111NX0100X",
"taxonomy_group": "",
"desc": "Chiropractor, Occupational Health",
"state": "TX",
"license": "11658",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "TX",
"license": "11658",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF CHIROPRACTIC EXAMINERS",
"identifier": "11658",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.