Individual provider Active NPI

Bethel Godswill Chukwuma, D.C.

  • Rehabilitation Chiropractor
  • Houston, TX
National Provider Identifier
1710347240
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
12667 Issued in TX
Practice address
3310 Highway 6 S Ste E
Houston, TX 77082-3149
Phone
(281) 258-4123
Fax
(281) 670-5187
NPI assigned
Feb 25, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 12667 TX Primary

Addresses

Primary practice location

3310 Highway 6 S Ste E
Houston, TX 77082-3149

Mailing address

3310 Highway 6 S Ste E
Houston, TX 77082-3149
Phone (281) 258-4123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180221000618 TX Practitioner - Chiropractic 3375804008 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1710347240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 HIGHWAY 6 S STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770823149",
            "telephone_number": "281-258-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 HIGHWAY 6 S STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770823149",
            "telephone_number": "281-258-4123",
            "fax_number": "281-670-5187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUKWUMA",
        "first_name": "BETHEL",
        "middle_name": "GODSWILL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-25",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "12667",
            "primary": true
        }
    ],
    "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 Mar 6, 2018; 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.