Individual provider Active NPI

Nathan Neal Whitaker, D.C.

  • Chiropractor
  • Spring, TX
National Provider Identifier
1558475780
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9486 Issued in TX
Practice address
6518 Louetta Rd
Spring, TX 77379-7413
Phone
(281) 370-4251
Fax
(281) 370-1695
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9486 TX Primary

Addresses

Primary practice location

6518 Louetta Rd
Spring, TX 77379-7413

Mailing address

6518 Louetta Rd
Spring, TX 77379-7413
Phone (281) 370-4251

Other identifiers 3

IdentifierTypeStateIssuer
608216OtherTXBCBS PROVIDER #
74-3095119OtherTXTAX ID #
DC 9486OtherTXLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120216000379 TX Practitioner - Chiropractic 9638337983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6518 Louetta Rd
Spring, TX 77379-7413
Phone (281) 370-4251

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9486TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Klein Chiropractic Clinic, P.C. Chiropractor CurrentSince Nov 1, 2016 Accepting new patients

Locations

6518 Louetta Rd
Spring, TX 77379
Phone (281) 370-4251

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1558475780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6518 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797413",
            "telephone_number": "281-370-4251",
            "fax_number": "281-370-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6518 LOUETTA RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797413",
            "telephone_number": "281-370-4251",
            "fax_number": "281-370-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITAKER",
        "first_name": "NATHAN",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "608216",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "74-3095119",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "DC 9486",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.