Organization Active NPI

Soc Chiropractic Sports & Wellness

  • Clinic/Center
  • Alvin, TX
National Provider Identifier
1548543291
Registry record updated Sep 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
SOC CHIROPRACTIC SPORTS & WELLNESS
Practice address
125 Cedar LN
Alvin, TX 77511-4401
Phone
(281) 331-7656
Fax
(281) 331-7656
NPI assigned
Sep 20, 2011
Last updated
Sep 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2011

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

Authorized official

Name
Dr. Nova Celeste Chauvin, D.C.NPI 1619265733
Title
Doctor
Phone
(281) 331-7656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

125 Cedar LN
Alvin, TX 77511-4401

Mailing address

125 Cedar LN
Alvin, TX 77511-4401
Phone (281) 331-7656

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130227000082 TX Part B Supplier - Clinic/Group Practice 3870748718 Receives reassigned benefits from 2 practitioners
Practice locations: Alvin, TX; League City, TX

National Provider Directory

National Provider Directory

Locations

125 Cedar Ln
Alvin, TX 77511
Phone (281) 331-7656

3000 Invincible Cir
#B
League City, TX 77573

3000 Invincible Cir
Ste B
League City, TX 77573
Phone (281) 334-1196

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1548543291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CEDAR LN",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775114401",
            "telephone_number": "281-331-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CEDAR LN",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775114401",
            "telephone_number": "281-331-7656",
            "fax_number": "281-331-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOC CHIROPRACTIC SPORTS & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "CHAUVIN",
        "authorized_official_first_name": "NOVA",
        "authorized_official_middle_name": "CELESTE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "281-331-7656",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.