Individual provider Active NPI

Donald Jerry Gholson, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1811282148
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6138 Issued in TX
Practice address
12421 Memorial Dr
Houston, TX 77024-6131
Phone
(713) 467-5367
NPI assigned
Jun 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6138 TX Primary

Addresses

Primary practice location

12421 Memorial Dr
Houston, TX 77024-6131

Mailing address

1419 Clarkdale CT
Houston, TX 77094-3208
Phone (713) 320-1333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141002000318 TX Practitioner - Chiropractic 0941420517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Karrie Yager, D.C. IncGroup PAC ID 3072960772, 2 clinicians

Practice addresses (Care Compare)

14340 Memorial Dr
Suite 450
Houston, TX 77079-6707
Phone (713) 714-3494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6138TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Karrie Yager, D.C. Inc. Chiropractor CurrentSince May 11, 2025 Accepting new patients

Locations

14340 Memorial Dr
Ste 450
Houston, TX 77079
Phone (713) 714-3494

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": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308096000000",
    "number": "1811282148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 CLARKDALE CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770943208",
            "telephone_number": "713-320-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12421 MEMORIAL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246131",
            "telephone_number": "713-467-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOLSON",
        "first_name": "DONALD",
        "middle_name": "JERRY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6138",
            "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 Jun 15, 2011; 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.