Active NPI
Concierge Chiropractic Clinic, LLC
- Chiropractor
- Pearland, TX
National Provider Identifier
1609212745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12160
- Legal business name
- CONCIERGE CHIROPRACTIC CLINIC, LLC
- Practice address
- 12155 Shadow Creek Pkwy Ste 115
Pearland, TX 77584-7289 - Phone
- (832) 614-3937
- NPI assigned
- May 15, 2013
- 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. Leartis James Lister, D.C.
- Title
- Owner
- Phone
- (832) 614-3937
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12160 | TX | Primary |
Addresses
Primary practice location
12155 Shadow Creek Pkwy Ste 115
Pearland, TX 77584-7289
Mailing address
3306 Stanton CT
Pearland, TX 77584-7864
Phone (832) 614-3937
National Provider Directory
National Provider DirectoryLocations
2000 North Loop W
Ste 110
Houston, TX 77018
Phone (281) 944-4701
12155 Shadow Creek Pkwy
Ste 115
Pearland, TX 77584
Phone (832) 243-4353
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
- Pearland, TX
- NPI 1396441564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707177600000",
"number": "1609212745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 STANTON CT",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847864",
"telephone_number": "832-614-3937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12155 SHADOW CREEK PKWY STE 115",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847289",
"telephone_number": "832-614-3937"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCIERGE CHIROPRACTIC CLINIC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-15",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A",
"authorized_official_last_name": "LISTER",
"authorized_official_first_name": "LEARTIS",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-614-3937",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "12160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
- Compass Point Emergency Physicians, PLLC
- Complete Choice Personal Care, LLC
- Complete Excellence Home Health Care Inc
- Complete Serenity LLC
- Comprehensive Cardiac Diagnostics and Wellness PLLC
- Cherice Michelle Conley-Harvey, MD
- Timothy Connolly
- Scott O'Quinn Conoly, M.D.
- Mariela Contreras
- Marissa Angelica Contrino, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.