Organization Active NPI

Concierge Chiropractic Clinic, LLC

  • Chiropractor
  • Pearland, TX
National Provider Identifier
1609212745
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12160 Issued in TX
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

Updated by the provider on Feb 6, 2024

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.