Organization Active NPI

Clear Lake Complete Chiropractic

  • Chiropractor
  • Houston, TX
National Provider Identifier
1578795993
Registry record updated May 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CLEAR LAKE COMPLETE CHIROPRACTIC
Practice address
907 El Dorado Blvd Ste B
Houston, TX 77062-4044
Phone
(281) 480-9931
Fax
(281) 402-1980
NPI assigned
Aug 18, 2009
Last updated
May 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2017

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

Authorized official

Name
Dr. Michael T Martin, D.CNPI 1699907170
Title
Chiropractor
Phone
(281) 488-2291

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

907 El Dorado Blvd Ste B
Houston, TX 77062-4044

Mailing address

907 El Dorado Blvd Ste B
Houston, TX 77062-4044
Phone (281) 480-9931

National Provider Directory

National Provider Directory

Locations

907 El Dorado Blvd
Ste B
Houston, TX 77062
Phone (281) 480-9931

385 El Dorado Blvd
Webster, TX 77598
Phone (281) 488-2291

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1578795993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 EL DORADO BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770624044",
            "telephone_number": "281-480-9931",
            "fax_number": "281-402-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 EL DORADO BLVD STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770624044",
            "telephone_number": "281-480-9931",
            "fax_number": "281-402-1980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR LAKE COMPLETE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "281-488-2291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 May 4, 2017; 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.