Individual provider Active NPI

Angie Ableen Realegeno-Arellano, DC

  • Chiropractor
  • College Station, TX
National Provider Identifier
1770172058
Registry record updated Feb 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15745 Issued in TX
Practice address
707 Texas Ave S # 202D
College Station, TX 77840-1967
Phone
(979) 431-8567
NPI assigned
Jan 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15745 TX Primary

Addresses

Primary practice location

707 Texas Ave S # 202D
College Station, TX 77840-1967

Mailing address

1407 San Jacinto LN
Bryan, TX 77803-2654
Phone (979) 595-4881

Other practice location 1

1605 Rock Prairie Rd Ste 315
College Station, TX 77845-8358
Phone (979) 695-1976

Other practice location 2

1609 N Texas Ave
Bryan, TX 77803-1828
Phone (979) 778-2074

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
15745TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
H-E-B, LP CurrentSince Jan 1, 2021 Accepting new patients
Cashion and de Leon CurrentSince Aug 11, 2024 Accepting new patients
Atletica Chiropractic LLC Chiropractor CurrentSince Feb 23, 2025 Accepting new patients
BCS Chiropractic Chiropractor PastSince Sep 1, 2023 Accepting new patients
H-E-B, LP PastSince Jan 1, 2021 Accepting new patients

Locations

1609 N Texas Ave
Bryan, TX 77803
Phone (979) 778-2074

707 Texas Ave S
#202D
College Station, TX 77840
Phone (979) 431-8567

Organizations & group practices 5

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": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1770172058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 SAN JACINTO LN",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778032654",
            "telephone_number": "979-595-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 TEXAS AVE S # 202D",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778401967",
            "telephone_number": "979-431-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Rock Prairie Rd Ste 315",
            "address_purpose": "LOCATION",
            "city": "College Station",
            "state": "TX",
            "postal_code": "778458358",
            "country_code": "US",
            "telephone_number": "979-695-1976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1609 N Texas Ave",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778031828",
            "country_code": "US",
            "telephone_number": "979-778-2074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REALEGENO-ARELLANO",
        "first_name": "ANGIE",
        "middle_name": "ABLEEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-12",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; 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.