Organization Active NPI

Odessa Chiropractic Association, P.a.

  • Chiropractor
  • Odessa, TX
National Provider Identifier
1659406502
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6461 Issued in TX
Legal business name
ODESSA CHIROPRACTIC ASSOCIATION, P.A.
Practice address
1607 E 8TH St
Odessa, TX 79761-4806
Phone
(432) 550-8875
Fax
(432) 550-8895
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kevin Michael Miller, D.C.NPI 1013131176
Title
President
Phone
(432) 550-8875

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6461 TX Primary

Addresses

Primary practice location

1607 E 8TH St
Odessa, TX 79761-4806

Mailing address

1607 E 8TH St
Odessa, TX 79761-4806
Phone (432) 550-8875

Other names 1

  • DBA - Chiropractic Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1607 E 8th St
Odessa, TX 79761
Phone (432) 550-8875

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659406502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614806",
            "telephone_number": "432-550-8875",
            "fax_number": "432-550-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 E 8TH ST",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797614806",
            "telephone_number": "432-550-8875",
            "fax_number": "432-550-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ODESSA CHIROPRACTIC ASSOCIATION, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-550-8875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA - Chiropractic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.