Individual provider Active NPI

Marcus Cody McComb, D.C.

  • Chiropractor
  • Kingwood, TX
National Provider Identifier
1679586358
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9180 Issued in TX
Practice address
1110 Kingwood Dr
Suite 201
Kingwood, TX 77339-3001
Phone
(281) 359-6932
Fax
(281) 359-2647
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9180 TX Primary

Addresses

Primary practice location

1110 Kingwood Dr
Suite 201
Kingwood, TX 77339-3001

Mailing address

1110 Kingwood Dr
Suite 201
Kingwood, TX 77339-3001
Phone (281) 359-6932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000389 TX Practitioner - Chiropractic 1951372911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
M and B Chiropractic PAGroup PAC ID 0244201200, 2 clinicians

Practice addresses (Care Compare)

1380 Stonehollow Dr
Kingwood, TX 77339-1773
Phone (281) 359-6932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9180TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
M & B Chiropractic, P.a. Chiropractor CurrentSince May 15, 2004 Accepting new patients
Moss Family Chiropractic, PLLC Chiropractor CurrentSince Sep 25, 2019 Accepting new patients

Locations

1380 Stonehollow Dr
Kingwood, TX 77339
Phone (281) 358-7101

1110 Kingwood Dr
Ste 201
Kingwood, TX 77339
Phone (281) 359-6932

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1679586358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR",
            "address_2": "SUITE 201",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393001",
            "telephone_number": "281-359-6932",
            "fax_number": "281-359-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR",
            "address_2": "SUITE 201",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393001",
            "telephone_number": "281-359-6932",
            "fax_number": "281-359-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOMB",
        "first_name": "MARCUS",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.