Dr Pamela a Tackett DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4350 Issued in TX

Legal business name

DR PAMELA A TACKETT DC PC

Practice address

1367 E College St
Seguin, TX 78155

Phone

(830) 379-2944

Fax

(830) 303-2944

NPI assigned

Aug 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Pamela A Tackett, DCNPI 1033293808

Title

Director of Chirop PC President

Phone

(830) 379-2944

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tackett Chiropractic Ltd Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Pamela A Tackett, DC

  • Chiropractor
  • Seguin, TX
  • NPI 1033293808
  Medicare reassignment NPD Authorized official
• Jacee Ann Wells, D.C.

  • Chiropractor
  • Seguin, TX
  • NPI 1285236000
  Medicare reassignment NPD

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1679720973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1567",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-379-2944",
            "fax_number": "830-303-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 E COLLEGE ST",
            "city": "SEGUIN",
            "state": "TX",
            "postal_code": "78155",
            "telephone_number": "830-379-2944",
            "fax_number": "830-303-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR PAMELA A TACKETT DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "TACKETT",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR OF CHIROP PC PRESIDENT",
        "authorized_official_telephone_number": "830-379-2944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152916601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tackett Chiropractic Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Diaz, RN
• Katie Dickens, DDS
• Melissa Veronica Dorado
• Samuel Zachary Doss, P.T.
• Edward Anthony Dovalina
• Jessica Drees, R.D., L.D.
• George Frans Du Preez
• Michael Joseph Dwyer, MD
• Educare Comm Living Corp Texas
• Educare Community Living Corporation - Texas

• All providers in Seguin, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; 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.

Verify at the official NPI Registry.