Active NPI
Island Chiropractic and Acupuncture Clinic LLC
- Chiropractor
- South Padre Island, TX
National Provider Identifier
1578747101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 8835
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606681 | Other | TX | BLUE CROSS BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- South Padre Island, TX
- NPI 1376698704
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.