Individual provider Active NPI

Symone Hope Fontenot, DC

  • Chiropractor
  • Mont Belvieu, TX
National Provider Identifier
1740875152
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14711 Issued in TX
Practice address
9855 Eagle Dr Ste 130
Mont Belvieu, TX 77523-7016
Phone
(281) 576-8996
Fax
(281) 576-7224
NPI assigned
Mar 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2008 LA
Chiropractor 111N00000X 14711 TX Primary

Addresses

Primary practice location

9855 Eagle Dr Ste 130
Mont Belvieu, TX 77523-7016

Mailing address

1901 Bayou Homes Dr
Galveston, TX 77551-1338
Phone (337) 277-9528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14711TXMDChiropractor
2008LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Galveston Chiropractic Chiropractor PastSince Mar 1, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1740875152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 BAYOU HOMES DR",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511338",
            "telephone_number": "337-277-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9855 EAGLE DR STE 130",
            "city": "MONT BELVIEU",
            "state": "TX",
            "postal_code": "775237016",
            "telephone_number": "281-576-8996",
            "fax_number": "281-576-7224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "SYMONE",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "2008",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mont Belvieu, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.