Individual provider Active NPI

Eliseo Cummings, D.C.

  • Chiropractor
  • Conroe, TX
National Provider Identifier
1629006416
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10277 Issued in TX
Practice address
204 N 1St St
Conroe, TX 77301-2920
Phone
(936) 756-2415
NPI assigned
Jun 29, 2006
Last updated
Jan 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 10277 TX Primary

Addresses

Primary practice location

204 N 1St St
Conroe, TX 77301-2920

Mailing address

25718 Crisp Spring Lane
Spring, TX 77373
Phone (936) 756-2415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000181 TX Practitioner - Chiropractic 6002900610 Reassigns benefits to 1 organization
Practice locations: Conroe, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

204 N 1St St
Conroe, TX 77301-2920
Phone (936) 756-2415

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10277TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Rice Chiropractic Clinic Chiropractor CurrentSince Jul 12, 2018 Accepting new patients
Eliseo Cummings, D.C. Chiropractor PastSince Jan 1, 1990 Accepting new patients

Locations

204 N 1st St
Conroe, TX 77301
Phone (936) 756-2415

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421020800000",
    "number": "1629006416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25718 CRISP SPRING LANE",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "77373",
            "telephone_number": "936-756-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N 1ST ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012920",
            "telephone_number": "936-756-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "ELISEO",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2015-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.