NPIMap

Organization Active NPI

Essential Sport & Wellness Chiropractic

  • Chiropractor
  • The Woodlands, TX
National Provider Identifier
1801189071
Registry record updated May 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11486 Issued in TX
Legal business name
ESSENTIAL SPORT & WELLNESS CHIROPRACTIC
Practice address
4810 W Panther Creek Dr Ste 105
The Woodlands, TX 77381-5005
Phone
(713) 873-1166
NPI assigned
May 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2011

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

Authorized official

Name
Dr. Shaun A McCrae, DCNPI 1447571443
Title
Chiropractor
Phone
(713) 873-1166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11486 TX Primary

Addresses

Primary practice location

4810 W Panther Creek Dr Ste 105
The Woodlands, TX 77381-5005

Mailing address

4810 W Panther Creek Dr Ste 105
The Woodlands, TX 77381-5005
Phone (713) 873-1166

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1306022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306022400000",
    "number": "1801189071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 W PANTHER CREEK DR STE 105",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773815005",
            "telephone_number": "713-873-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 W PANTHER CREEK DR STE 105",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773815005",
            "telephone_number": "713-873-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL SPORT & WELLNESS CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-22",
        "last_updated": "2011-05-22",
        "status": "A",
        "authorized_official_last_name": "MCCRAE",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "713-873-1166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2011; 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.