Individual provider Active NPI

Joel Wilstead, D.C.

  • Chiropractor
  • Texas City, TX
National Provider Identifier
1669702973
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13341 Issued in TX
Practice address
2709 Palmer Hwy
Texas City, TX 77590-6929
Phone
(409) 948-1000
Fax
(409) 948-1005
NPI assigned
Jan 8, 2010
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13341 TX Primary

Addresses

Primary practice location

2709 Palmer Hwy
Texas City, TX 77590-6929

Mailing address

410 22ND Ave N
Texas City, TX 77590-6025
Phone (816) 519-5960

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
13341TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Corporate Chiro LLC Chiropractor Current Accepting new patients
Eastland Chiropractic LLC Chiropractor Past Accepting new patients
Schall Chiropractic Inc Chiropractor Past Accepting new patients
Advanced Health & Wellness PastSince Mar 1, 2010 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1669702973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 22ND AVE N",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906025",
            "telephone_number": "816-519-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 PALMER HWY",
            "city": "TEXAS CITY",
            "state": "TX",
            "postal_code": "775906929",
            "telephone_number": "409-948-1000",
            "fax_number": "409-948-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSTEAD",
        "first_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-08",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texas City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.