NPIMap

Organization Active NPI

Rewire Chiropractic and Wellness Center

  • Chiropractor
  • Pearland, TX
National Provider Identifier
1568900017
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13395 Issued in TX
Legal business name
REWIRE CHIROPRACTIC AND WELLNESS CENTER
Practice address
5720 Broadway St
Suite 102
Pearland, TX 77581-7944
Phone
(864) 308-6873
NPI assigned
Feb 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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

Authorized official

Name
Dr. Yadira Santiago, D.C
Title
Chiropractor/Owner
Phone
(346) 410-5465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 13395 TX Primary

Addresses

Primary practice location

5720 Broadway St
Suite 102
Pearland, TX 77581-7944

Mailing address

12400 Shadow Creek Pkwy
2305
Pearland, TX 77584-7347
Phone (864) 308-6873

National Provider Directory

National Provider Directory

Locations

5720 Broadway St
Ste 102
Pearland, TX 77581
Phone (346) 410-5465

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1568900017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12400 SHADOW CREEK PKWY",
            "address_2": "2305",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847347",
            "telephone_number": "864-308-6873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5720 BROADWAY ST",
            "address_2": "SUITE 102",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775817944",
            "telephone_number": "864-308-6873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REWIRE CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-04",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "YADIRA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "346-410-5465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.