Individual provider Active NPI

David Chandross, P.T.A

  • Physical Therapy Assistant
  • Houston, TX
National Provider Identifier
1558638148
Registry record updated Apr 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2034759 Issued in TX
Practice address
1815 Enclave Pkwy
# 6307
Houston, TX 77077-3671
Phone
(281) 920-0591
NPI assigned
Nov 26, 2011
Last updated
Apr 27, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00608 TX
Physical Therapy Assistant 225200000X 2034759 TX Primary

Addresses

Primary practice location

1815 Enclave Pkwy
# 6307
Houston, TX 77077-3671

Mailing address

1815 Enclave Pkwy
# 6307
Houston, TX 77077-3671
Phone (281) 920-0591

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00608TXMDAcupuncturist
2034759TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1322265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367020800000",
    "number": "1558638148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 ENCLAVE PKWY",
            "address_2": "# 6307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773671",
            "telephone_number": "281-920-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 ENCLAVE PKWY",
            "address_2": "# 6307",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773671",
            "telephone_number": "281-920-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDROSS",
        "first_name": "DAVID",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-26",
        "last_updated": "2013-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00608",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2034759",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.