Individual provider Active NPI

Jesse P Whittaker, D.C.

  • Occupational Health Chiropractor
  • Katy, TX
National Provider Identifier
1629126313
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
DC9335 Issued in TX
Practice address
956 S Fry Rd
Katy, TX 77450-3062
Phone
(281) 599-1800
Fax
(281) 599-3710
NPI assigned
Jan 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X DC9335 TX Primary

Addresses

Primary practice location

956 S Fry Rd
Katy, TX 77450-3062

Mailing address

956 S Fry Rd
Katy, TX 77450-3062
Phone (281) 599-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131212000756 TX Practitioner - Chiropractic 9638306954 Practice locations: Bellaire, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5959 W Loop S
Bellaire, TX 77401-2419
Phone (832) 767-3456

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC9335TXMDOccupational Health Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Whittaker Clinic of Chiropractic CurrentSince Feb 26, 2023 Accepting new patients
The Whittaker Clinic PA CurrentSince Jan 15, 2023 Accepting new patients

Locations

5959 West Loop S
Ste 590
Bellaire, TX 77401
Phone (832) 767-3456

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1629126313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 S FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503062",
            "telephone_number": "281-599-1800",
            "fax_number": "281-599-3710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 S FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503062",
            "telephone_number": "281-599-1800",
            "fax_number": "281-599-3710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "JESSE",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-08",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "DC9335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.