Organization Active NPI

Island Chiropractic and Acupuncture Clinic LLC

  • Chiropractor
  • South Padre Island, TX
National Provider Identifier
1578747101
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8835 Issued in TX
Legal business name
ISLAND CHIROPRACTIC AND ACUPUNCTURE CLINIC LLC
Practice address
3311 Padre Blvd
Suite B
South Padre Island, TX 78597-7048
Phone
(956) 761-6006
Fax
(956) 761-6002
NPI assigned
Dec 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Authorized official

Name
Dr. Joey Lee Laske, D.C.
Title
President/Chiropractor
Phone
(956) 761-6006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 8835 TX Primary

Addresses

Primary practice location

3311 Padre Blvd
Suite B
South Padre Island, TX 78597-7048

Mailing address

3311 Padre Blvd
Suite B
South Padre Island, TX 78597-7048
Phone (956) 761-6006

Other identifiers 1

IdentifierTypeStateIssuer
606681OtherTXBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3311 Padre Blvd
Ste B
South Padre Isle, TX 78597
Phone (956) 761-6006

Practitioners & affiliated clinicians

Practitioners 1

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": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1578747101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PADRE BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977048",
            "telephone_number": "956-761-6006",
            "fax_number": "956-761-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PADRE BLVD",
            "address_2": "SUITE B",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785977048",
            "telephone_number": "956-761-6006",
            "fax_number": "956-761-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND CHIROPRACTIC AND ACUPUNCTURE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "LASKE",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "956-761-6006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "606681",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Padre Island, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.