Individual provider Active NPI

George Glenn Junkin, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1689673170
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC2593 Issued in TX
Practice address
11500 Northwest Fwy Ste 201
Houston, TX 77092-6524
Phone
(713) 686-0828
Fax
(713) 686-4151
NPI assigned
Jul 18, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC2593 TX Primary
Nutrition Chiropractor 111NN1001X DC2593 TX

Addresses

Primary practice location

11500 Northwest Fwy Ste 201
Houston, TX 77092-6524

Mailing address

11500 Northwest Fwy Ste 201
Houston, TX 77092-6524
Phone (713) 686-0828

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
2593TXMDBehavioral Analyst
DC2593TXMDNutrition Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1689673170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NORTHWEST FWY STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926524",
            "telephone_number": "713-686-0828",
            "fax_number": "713-686-4151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 NORTHWEST FWY STE 201",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926524",
            "telephone_number": "713-686-0828",
            "fax_number": "713-686-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNKIN",
        "first_name": "GEORGE",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC2593",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "TX",
            "license": "DC2593",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.