Individual provider Active NPI

Paul Camden Breeding, D.C.

  • Chiropractor
  • Pearland, TX
National Provider Identifier
1821193152
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4323 Issued in TX
Practice address
2620 Cullen Pkwy Ste 202
Pearland, TX 77581-9008
Phone
(281) 412-0900
Fax
(281) 412-4020
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4323 TX Primary

Addresses

Primary practice location

2620 Cullen Pkwy Ste 202
Pearland, TX 77581-9008

Mailing address

2620 Cullen Pkwy Ste 202
Pearland, TX 77581-9008
Phone (281) 412-0900

Other practice location 1

501 Old Kyle Rd
Suite 100
Wimberley, TX 78676-2835
Phone (512) 831-8088

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4323TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1821193152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 CULLEN PKWY STE 202",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775819008",
            "telephone_number": "281-412-0900",
            "fax_number": "281-412-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 CULLEN PKWY STE 202",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775819008",
            "telephone_number": "281-412-0900",
            "fax_number": "281-412-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Old Kyle Rd",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "786762835",
            "country_code": "US",
            "telephone_number": "512-831-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "PAUL",
        "middle_name": "CAMDEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.