Fairway Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9862 Issued in TX

Legal business name

FAIRWAY CHIROPRACTIC PLLC

Practice address

1701 Fairway Dr
Suite 2a
Alvin, TX 77511-4661

Phone

(281) 331-5000

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ross Allen Leago IIINPI 1619919974

Title

Chiropractor

Phone

(281) 331-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ross Allen Leago III, D.C.

  • Sports Physician Chiropractor
  • Alvin, TX
  • NPI 1619919974
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629299136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 GLADE BRIDGE LN",
            "city": "DICKINSON",
            "state": "TX",
            "postal_code": "775394162",
            "telephone_number": "281-309-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 FAIRWAY DR",
            "address_2": "SUITE 2A",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775114661",
            "telephone_number": "281-331-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRWAY CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEAGO",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "281-331-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.