Organization Active NPI

Dynamic Chiropractic Clinic, Inc

  • Chiropractor
  • Houston, TX
National Provider Identifier
1780705111
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8825 Issued in TX
Legal business name
DYNAMIC CHIROPRACTIC CLINIC, INC
Practice address
8145 Highway 6 S
Suite 138
Houston, TX 77083-5763
Phone
(281) 933-6363
Fax
(281) 933-8949
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Abbas Heydari, D.C.
Title
President
Phone
(281) 933-6363

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8825 TX Primary

Addresses

Primary practice location

8145 Highway 6 S
Suite 138
Houston, TX 77083-5763

Mailing address

8145 Highway 6 S
Suite 138
Houston, TX 77083-5763
Phone (281) 933-6363

Other identifiers 2

IdentifierTypeStateIssuer
0040HSOtherTXBLUE CORSS BLUE SHIELD
8G3870OtherBC BS PROVIDER

Other names 1

  • Headache, Neck Pain, & Back Pain Relief Center Doing business as

National Provider Directory

National Provider Directory

Locations

8145 Highway 6 S
Ste 138
Houston, TX 77083
Phone (281) 933-6363

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780705111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8145 HIGHWAY 6 S",
            "address_2": "SUITE 138",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835763",
            "telephone_number": "281-933-6363",
            "fax_number": "281-933-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8145 HIGHWAY 6 S",
            "address_2": "SUITE 138",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835763",
            "telephone_number": "281-933-6363",
            "fax_number": "281-933-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC CHIROPRACTIC CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEYDARI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-933-6363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CORSS BLUE SHIELD",
            "identifier": "0040HS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS PROVIDER",
            "identifier": "8G3870",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Headache, Neck Pain, & Back Pain Relief Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.