Organization Active NPI

Experience Chiropractic

  • Chiropractor
  • Houston, TX
National Provider Identifier
1760655377
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
69340 Issued in TX
Legal business name
EXPERIENCE CHIROPRACTIC
Practice address
16259 FM 529 Rd
Houston, TX 77095-1433
Phone
(281) 345-4450
Fax
(281) 345-4449
NPI assigned
Apr 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Dr. Mick Mahan, D.C.NPI 1235138892
Title
President
Phone
(281) 345-4450

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 69340 TX Primary

Addresses

Primary practice location

16259 FM 529 Rd
Houston, TX 77095-1433

Mailing address

16259 FM 529 Rd
Houston, TX 77095-1433
Phone (281) 345-4450

National Provider Directory

National Provider Directory

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": "1207267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1760655377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16259 FM 529 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951433",
            "telephone_number": "281-345-4450",
            "fax_number": "281-345-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 FM 529 RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770951433",
            "telephone_number": "281-345-4450",
            "fax_number": "281-345-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-04",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MAHAN",
        "authorized_official_first_name": "MICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-345-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "69340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.