Individual provider Active NPI

Douglas L. Nelson, D.C.

  • Chiropractor
  • Port Neches, TX
National Provider Identifier
1740261056
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC5180 Issued in TX
Practice address
2721 Nall St
Port Neches, TX 77651-5203
Phone
(409) 727-1609
Fax
(409) 727-2920
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC5180 TX Primary

Addresses

Primary practice location

2721 Nall St
Port Neches, TX 77651-5203

Mailing address

2721 Nall St
Port Neches, TX 77651-5203
Phone (409) 727-1609

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000553 TX Practitioner - Chiropractic 3678539954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nelson Chiropractic Center LLCGroup PAC ID 5395100192, 2 clinicians

Practice addresses (Care Compare)

2657 S Loop 336
Suite a
Conroe, TX 77304-3751
Phone (936) 949-0053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC5180TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nelson Chiropractic Center LLC Chiropractor CurrentSince Apr 1, 2023 Accepting new patients
Mid County Chiropractic Clinic Chiropractor Past Accepting new patients

Locations

2657 S Loop 336 W
Ste A
Conroe, TX 77304
Phone (936) 494-1755

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1740261056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515203",
            "telephone_number": "409-727-1609",
            "fax_number": "409-727-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 NALL ST",
            "city": "PORT NECHES",
            "state": "TX",
            "postal_code": "776515203",
            "telephone_number": "409-727-1609",
            "fax_number": "409-727-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "DOUGLAS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC5180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Neches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.