Organization Active NPI

Lacey Chiropractic Services, LLC

  • Chiropractor
  • Baytown, TX
National Provider Identifier
1740647833
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12638 Issued in TX
Legal business name
LACEY CHIROPRACTIC SERVICES, LLC
Practice address
4520 S FM 565 Rd
Baytown, TX 77523-4884
Phone
(281) 383-0004
Fax
(281) 383-0007
NPI assigned
Jan 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Dr. Mitzi Ann Lacey, D.C.
Title
Practitioner/ Owner
Phone
(281) 383-0004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 12638 TX Primary

Addresses

Primary practice location

4520 S FM 565 Rd
Baytown, TX 77523-4884

Mailing address

4520 S FM 565 Rd
Baytown, TX 77523-4884
Phone (281) 383-0004

Other names 1

  • HealthSource of Baytown Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1740647833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 S FM 565 RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775234884",
            "telephone_number": "281-383-0004",
            "fax_number": "281-383-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 S FM 565 RD",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775234884",
            "telephone_number": "281-383-0004",
            "fax_number": "281-383-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACEY CHIROPRACTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "LACEY",
        "authorized_official_first_name": "MITZI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRACTITIONER/ OWNER",
        "authorized_official_telephone_number": "281-383-0004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource of Baytown",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.