Deetle Beetle Corp.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10458 Issued in TX

Legal business name

DEETLE BEETLE CORP.

Practice address

113 Abner Jackson Pkwy
Suite C
Lake Jackson, TX 77566

Phone

(979) 480-9922

Fax

(979) 480-9923

NPI assigned

May 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeff Christopher Ward, D.C.NPI 1457416398

Title

Owner/President

Phone

(979) 480-9922

Specialties & licenses 1

Addresses

Other names 1

• Ward Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 5

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

• Jeff Christopher Ward, D.C.

  • Chiropractor
  • Lake Jackson, TX
  • NPI 1457416398
  Medicare reassignment NPD Authorized official
• Robert A Woodard II, D.C.

  • Chiropractor
  • Lake Jackson, TX
  • NPI 1134539570
  Medicare reassignment NPD
• Staci Schneider Braden, D.C.

  • Chiropractor
  • Lake Jackson, TX
  • NPI 1982145264
  NPD
• Grace Pavlovsky, D.C.

  • Chiropractor
  • Lake Jackson, TX
  • NPI 1902122450
  NPD (past)
• Teylor Yarrish, DC

  • Chiropractor
  • Conroe, TX
  • NPI 1992410856
  NPD (past)

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490313600000",
    "number": "1609080308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ABNER JACKSON PKWY",
            "address_2": "SUITE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-480-9922",
            "fax_number": "979-480-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ABNER JACKSON PKWY",
            "address_2": "SUITE C",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "77566",
            "telephone_number": "979-480-9922",
            "fax_number": "979-480-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEETLE BEETLE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2017-03-24",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "979-480-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ward Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kayla H Dao, O.D.
• Kimi L Dart, D.O.
• Amish Mahendra Dave, M.D.
• Steven Edward Davis, D.C.
• Jonathan Michael Day, M.D.
• Delta Camille Delagarza
• George Wayne Deleon, MD
• Dennis McGuire, PH.D., P.C
• Derbonne Chiropractic
• John Derbonne, D.C.

• All providers in Lake Jackson, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.