Individual provider Active NPI

Nolan Jay Wheeler, D.C.

  • Rehabilitation Chiropractor
  • Spring, TX
National Provider Identifier
1578754883
Registry record updated Jan 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
9897 Issued in TX
Practice address
4711 Louetta Rd
Ste 118
Spring, TX 77388-4351
Phone
(281) 355-1838
Fax
(281) 528-7441
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 9897 TX Primary

Addresses

Primary practice location

4711 Louetta Rd
Ste 118
Spring, TX 77388-4351

Mailing address

4711 Louetta Rd
Ste 118
Spring, TX 77388-4351
Phone (281) 355-1838

Other identifiers 1

IdentifierTypeStateIssuer
8M1551OtherTXBCBS

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9897TXMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Chiropractic - South Shore PLLC Past Accepting new patients

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326153600000",
    "number": "1578754883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 LOUETTA RD",
            "address_2": "STE 118",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884351",
            "telephone_number": "281-355-1838",
            "fax_number": "281-528-7441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 LOUETTA RD",
            "address_2": "STE 118",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884351",
            "telephone_number": "281-355-1838",
            "fax_number": "281-528-7441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "NOLAN",
        "middle_name": "JAY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2012-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "9897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M1551",
            "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 Jan 10, 2012; 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.