Organization Active NPI

Cornerstone Rehab and Spine

  • Chiropractor
  • Kemah, TX
National Provider Identifier
1710315205
Registry record updated Nov 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11545 Issued in TX
Legal business name
CORNERSTONE REHAB AND SPINE
Practice address
391 Columbia Memorial Pkwy
Suite a
Kemah, TX 77565-3249
Phone
(832) 730-4657
Fax
(832) 730-4675
NPI assigned
Oct 22, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2013

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

Authorized official

Name
Debra Gomach, D.C.
Title
Manager, Doctor
Phone
(832) 730-4657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11545 TX Primary

Addresses

Primary practice location

391 Columbia Memorial Pkwy
Suite a
Kemah, TX 77565-3249

Mailing address

391 Columbia Memorial Pkwy
Suite a
Kemah, TX 77565-3249
Phone (832) 730-4657

National Provider Directory

National Provider Directory

Locations

391 Columbia Memorial Pkwy
Ste A
Kemah, TX 77565
Phone (281) 336-0116

NPI Registry JSON

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385510400000",
    "number": "1710315205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 COLUMBIA MEMORIAL PKWY",
            "address_2": "SUITE A",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775653249",
            "telephone_number": "832-730-4657",
            "fax_number": "832-730-4675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 COLUMBIA MEMORIAL PKWY",
            "address_2": "SUITE A",
            "city": "KEMAH",
            "state": "TX",
            "postal_code": "775653249",
            "telephone_number": "832-730-4657",
            "fax_number": "832-730-4675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE REHAB AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-11-27",
        "status": "A",
        "authorized_official_last_name": "GOMACH",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "MANAGER, DOCTOR",
        "authorized_official_telephone_number": "832-730-4657",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kemah, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2013; 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.