Organization Active NPI

Emerald Chiropractic Center P.C.

  • Rehabilitation Chiropractor
  • League City, TX
National Provider Identifier
1710162961
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4141 Issued in TX
Legal business name
EMERALD CHIROPRACTIC CENTER P.C.
Practice address
2047 W Main St
Suite A8
League City, TX 77573-3579
Phone
(281) 332-9631
Fax
(281) 332-8192
NPI assigned
Jan 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Authorized official

Name
Dr. John Paul Hodges Jr., D.C.NPI 1285634014
Title
President
Phone
(281) 332-9631

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 4141 TX Primary

Addresses

Primary practice location

2047 W Main St
Suite A8
League City, TX 77573-3579

Mailing address

PO Box 1688
League City, TX 77574-1688
Phone (281) 332-9631

Other identifiers 1

IdentifierTypeStateIssuer
83V082 / OOL33GOtherTXBCBS

National Provider Directory

National Provider Directory

Locations

2047 W Main St
Ste A8
League City, TX 77573
Phone (281) 332-9631

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199664000000",
    "number": "1710162961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1688",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775741688",
            "telephone_number": "281-332-9631",
            "fax_number": "281-332-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 W MAIN ST",
            "address_2": "SUITE A8",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733579",
            "telephone_number": "281-332-9631",
            "fax_number": "281-332-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CHIROPRACTIC CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-332-9631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "4141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "83V082  /  OOL33G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in League City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.