Active NPI
Tiffany Marie Poole, DC
- Chiropractor
- Katy, TX
National Provider Identifier
1659976074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11723
- Practice address
- 1526 Katy Gap Rd Ste 602
Katy, TX 77494-6058 - Phone
- (281) 827-2748
- NPI assigned
- Dec 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Chiropractor | 111NP0017X | 11723 | TX | |
| Chiropractor | 111N00000X | 11723 | TX | Primary |
Addresses
Primary practice location
1526 Katy Gap Rd Ste 602
Katy, TX 77494-6058
Mailing address
19006 Tumlinson Dr
Cypress, TX 77433-5003
Phone (281) 827-2748
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11723 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1659976074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19006 TUMLINSON DR",
"city": "CYPRESS",
"state": "TX",
"postal_code": "774335003",
"telephone_number": "281-827-2748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1526 KATY GAP RD STE 602",
"city": "KATY",
"state": "TX",
"postal_code": "774946058",
"telephone_number": "281-827-2748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "TIFFANY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "111NP0017X",
"taxonomy_group": "",
"desc": "Chiropractor, Pediatric Chiropractor",
"state": "TX",
"license": "11723",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11723",
"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 2, 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.