Individual provider Active NPI

Christina Farrell, DC

  • Chiropractor
  • Beaumont, TX
National Provider Identifier
1710797188
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16272 Issued in TX
Practice address
3965 Phelan Blvd Ste 109
Beaumont, TX 77707-2253
Phone
(409) 835-7676
NPI assigned
Jan 8, 2025
Last updated
Jan 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 16272 TX Primary

Addresses

Primary practice location

3965 Phelan Blvd Ste 109
Beaumont, TX 77707-2253

Mailing address

3965 Phelan Blvd
Beaumont, TX 77707-2231

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219001602 TX Practitioner - Chiropractic 8628598893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cobb Family Chiropractic PLLCGroup PAC ID 0749505022, 2 clinicians

Practice addresses (Care Compare)

8155 Gladys Ave
Suite 100
Beaumont, TX 77706-3244
Phone (409) 835-7676

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16272TXMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Cobb Family Chiropractic PLLC CurrentSince Jan 6, 2025 Accepting new patients
Complete Care Chiropractic Chiropractor PastSince Jan 12, 2025 Accepting new patients

Locations

3965 Phelan Blvd
Ste 109
Beaumont, TX 77707
Phone (409) 835-7676

8155 Gladys Ave
Ste 100
Beaumont, TX 77706
Phone (409) 835-7676

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1710797188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3965 PHELAN BLVD",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3965 PHELAN BLVD STE 109",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777072253",
            "telephone_number": "409-835-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "CHRISTINA",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "16272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.