Concierge Chiropractic Clinic, LLC

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

Last updated

Feb 6, 2024By the provider in NPPES

Organization subpart

No

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.NPI 1861743098

Title

Owner

Phone

(832) 614-3937

Specialties & licenses 1

Addresses

Locations

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.

• Leartis James Lister, D.C.

  • Chiropractor
  • Pearland, TX
  • NPI 1861743098
  Authorized official Same address or phone
• Timonia Marizdelle Buchanan, DC

  • Chiropractor
  • Pearland, TX
  • NPI 1396441564
  NPD

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": []
}

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• Chiropractor in Pearland, TX
• Providers in Pearland, TX by specialty
• Chiropractor in Texas

• 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.