Organization Active NPI

Texas Chiropractic College Foundation Inc

  • Chiropractor
  • Pasadena, TX
National Provider Identifier
1720084288
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2578 Issued in TX
Legal business name
TEXAS CHIROPRACTIC COLLEGE FOUNDATION INC
Doing business as
Moody Health Center
Practice address
5912 Spencer Hwy
Pasadena, TX 77505
Phone
(281) 487-1501
Fax
(281) 487-6768
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Sandra Kaye Hughes, DCNPI 1154538635
Title
Vice President of Admin Services
Phone
(281) 487-1170

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2578 TX Primary

Addresses

Primary practice location

5912 Spencer Hwy
Pasadena, TX 77505

Mailing address

5912 Spencer Highway
Pasadena, TX 77505
Phone (281) 487-1501

Other identifiers 1

IdentifierTypeStateIssuer
081662101MedicaidTX

Other names 1

  • Moody Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000373 TX Part B Supplier - Clinic/Group Practice 2062505068 Receives reassigned benefits from 3 practitioners
Practice locations: Pasadena, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2075269Moody Health Center at Texas Chiropratic College5912 Spencer Highway, Pasadena, TX 77505Certificate of waiverMar 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
Moody Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1720084288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5912 SPENCER HIGHWAY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77505",
            "telephone_number": "281-487-1501",
            "fax_number": "281-487-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5912 SPENCER HWY",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77505",
            "telephone_number": "281-487-1501",
            "fax_number": "281-487-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS CHIROPRACTIC COLLEGE FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "VICE PRESIDENT OF ADMIN SERVICES",
        "authorized_official_telephone_number": "281-487-1170",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "081662101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moody Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Moody Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.