Individual provider Active NPI

Jason Thomas Minogue, D.C

  • Chiropractor
  • Houston, TX
National Provider Identifier
1760687024
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10719 Issued in TX
Practice address
5715 NW Central Dr
Suite F-111
Houston, TX 77092-2053
Phone
(713) 690-4150
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038.010831 IL
Chiropractor 111N00000X 10719 TX Primary

Addresses

Primary practice location

5715 NW Central Dr
Suite F-111
Houston, TX 77092-2053

Mailing address

5715 NW Central Dr
Suite F-111
Houston, TX 77092-2053
Phone (713) 690-4150

Other identifiers 1

IdentifierTypeStateIssuer
TXB102461OtherTXMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100628000677 TX Practitioner - Chiropractic 3274664784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5715 Northwest Central Dr
Suite F111
Houston, TX 77092-2053
Phone (713) 690-4150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038.010831ILMDChiropractor
10719TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Spinal Care, PC Chiropractor CurrentSince Oct 9, 2001 Accepting new patients

Locations

5715 NW Central Dr
Ste F111
Houston, TX 77092
Phone (713) 690-4150

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279756800000",
    "number": "1760687024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5715 NW CENTRAL DR",
            "address_2": "SUITE F-111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770922053",
            "telephone_number": "713-690-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 NW CENTRAL DR",
            "address_2": "SUITE F-111",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770922053",
            "telephone_number": "713-690-4150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINOGUE",
        "first_name": "JASON",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2010-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.010831",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "TXB102461",
            "state": "TX"
        }
    ],
    "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 Jul 22, 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.