Corpus Christi Institute of Pain Management Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3033DC Issued in TX

Legal business name

CORPUS CHRISTI INSTITUTE OF PAIN MANAGEMENT INC

Practice address

6001 S Staples St
Corpus Christi, TX 78413-2901

Phone

(361) 993-3917

Fax

(361) 993-4336

NPI assigned

Jun 11, 2006

Organization subpart

No

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

Authorized official

Name

Evah D Gonzales

Title

Practice Management Consultant

Phone

(361) 549-3798

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rehab One Physical Therapy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Michael Mauger, D.C

  • Chiropractor
  • Corpus Christi, TX
  • NPI 1598700551
  Medicare reassignment NPD

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1730121153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132901",
            "telephone_number": "361-993-3917",
            "fax_number": "361-993-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132901",
            "telephone_number": "361-993-3917",
            "fax_number": "361-993-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI INSTITUTE OF PAIN MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "EVAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE MANAGEMENT CONSULTANT",
        "authorized_official_telephone_number": "361-549-3798"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "3033DC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP",
            "identifier": "0042GH",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rehab One Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Corpus Christi Heart Clinic, PLLC
• Corpus Christi Home Care, Inc.
• Corpus Christi Hospitalists, PLLC
• Corpus Christi Imaging, LP
• Corpus Christi Independent School District
• Corpus Christi Integrative Clinic LLC
• Corpus Christi Laboratory Services
• Corpus Christi Medical Associates, P.a.
• Corpus Christi Medical Center
• Corpus Christi Medical Center

• Chiropractor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.