Individual provider Active NPI

Joseph Edward Denke IV, D.C.

  • Chiropractor
  • Friendswood, TX
National Provider Identifier
1497058465
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11638 Issued in TX
Practice address
1100 S Friendswood Dr Ste B
Friendswood, TX 77546-4825
Phone
(281) 993-2122
Fax
(281) 993-2122
NPI assigned
Dec 14, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11638 TX Primary
Rehabilitation Chiropractor 111NR0400X 11638 TX
Sports Physician Chiropractor 111NS0005X 11638 TX

Addresses

Primary practice location

1100 S Friendswood Dr Ste B
Friendswood, TX 77546-4825

Mailing address

1100 S Friendswood Dr Ste B
Friendswood, TX 77546-4825
Phone (281) 993-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111101000144 TX Practitioner - Chiropractic 6608049028

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1100 S Friendswood Dr
Suite B
Friendswood, TX 77546-4825

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11638TXMDDental Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Select Spine and Sports Medicine Rehabilitation CurrentSince Jul 1, 2011 Accepting new patients

Locations

1305 W Parkwood Ave
Ste 101
Friendswood, TX 77546
Phone (281) 648-4800

1100 S Friendswood Dr
#B
Friendswood, TX 77546
Phone (281) 993-2122

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369180800000",
    "number": "1497058465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S FRIENDSWOOD DR STE B",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464825",
            "telephone_number": "281-993-2122",
            "fax_number": "281-993-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S FRIENDSWOOD DR STE B",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464825",
            "telephone_number": "281-993-2122",
            "fax_number": "281-993-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENKE",
        "first_name": "JOSEPH",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-14",
        "last_updated": "2013-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11638",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "11638",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "11638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.