Individual provider Active NPI

Cody Milton Ondracek, D.C.

  • Chiropractor
  • Conroe, TX
National Provider Identifier
1528263605
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10658 Issued in TX
Practice address
611 W Davis St
Conroe, TX 77301-2702
Phone
(936) 760-3332
Fax
(936) 760-3223
NPI assigned
Jun 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10658 TX Primary

Addresses

Primary practice location

611 W Davis St
Conroe, TX 77301-2702

Mailing address

611 W Davis St
Conroe, TX 77301-2702
Phone (936) 760-3332

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000745 TX Practitioner - Chiropractic 5092853440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ondracek ChiropracticGroup PAC ID 8820136278, 2 clinicians

Practice addresses (Care Compare)

611 W Davis
Conroe, TX 77301-2702

611 W Davis St
Conroe, TX 77301-2702
Phone (936) 760-3332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ondracek Chiropractic Chiropractor CurrentSince Sep 1, 2009 Accepting new patients

Locations

611 W Davis St
Conroe, TX 77301
Phone (936) 760-3332

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528263605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012702",
            "telephone_number": "936-760-3332",
            "fax_number": "936-760-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 W DAVIS ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012702",
            "telephone_number": "936-760-3332",
            "fax_number": "936-760-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONDRACEK",
        "first_name": "CODY",
        "middle_name": "MILTON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.