Active NPI
Nacogdoches Wellness PLLC
- Chiropractor
- Nacogdoches, TX
National Provider Identifier
1629875083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- NACOGDOCHES WELLNESS PLLC
- Practice address
- 4721 North St
Nacogdoches, TX 75965-1874 - Phone
- (936) 569-0200
- Fax
- (936) 569-0200
- NPI assigned
- Feb 25, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David A Luquette, DC
- Title
- Owner
- Phone
- (936) 569-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
4721 North St
Nacogdoches, TX 75965-1874
Mailing address
4721 North St
Nacogdoches, TX 75965-1874
Phone (936) 569-0200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Nacogdoches, TX
- NPI 1154315596
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740441600000",
"number": "1629875083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4721 NORTH ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651874",
"telephone_number": "936-569-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4721 NORTH ST",
"city": "NACOGDOCHES",
"state": "TX",
"postal_code": "759651874",
"telephone_number": "936-569-0200",
"fax_number": "936-569-0200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NACOGDOCHES WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A",
"authorized_official_last_name": "LUQUETTE",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "936-569-0200",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nacogdoches, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.