Organization Active NPI

Omni Health Chiropractic PLLC

  • Chiropractor
  • Spring Branch, TX
National Provider Identifier
1740053552
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OMNI HEALTH CHIROPRACTIC PLLC
Practice address
17102 Highway 46 W Ste 14
Spring Branch, TX 78070-7120
Phone
(830) 214-2211
NPI assigned
Nov 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Authorized official

Name
Jordan MassoNPI 1457920597
Title
Owner/Chiropractor
Phone
(956) 605-3762

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

17102 Highway 46 W Ste 14
Spring Branch, TX 78070-7120

Mailing address

17102 Highway 46 W Ste 14
Spring Branch, TX 78070-7120
Phone (830) 214-2211

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240220001824 TX Part B Supplier - Clinic/Group Practice 7618311457 Receives reassigned benefits from 1 practitioner
Practice locations: Spring Branch, TX

National Provider Directory

National Provider Directory

Locations

17102 Highway 46 W
Ste 14
Spring Branch, TX 78070
Phone (210) 884-2225

Practitioners & affiliated clinicians

Practitioners 1

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": "1698883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698883200000",
    "number": "1740053552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17102 HIGHWAY 46 W STE 14",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780707120",
            "telephone_number": "830-214-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17102 HIGHWAY 46 W STE 14",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780707120",
            "telephone_number": "830-214-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNI HEALTH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A",
        "authorized_official_last_name": "MASSO",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "956-605-3762"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Branch, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.