Organization Active NPI

Cy-Fair Chiropractic Associates,PC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1821215294
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2498 Issued in TX
Legal business name
CY-FAIR CHIROPRACTIC ASSOCIATES,PC
Practice address
11514 Fallbrook
Houston, TX 77065
Phone
(281) 955-6582
Fax
(281) 955-8188
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ms. Jenny Louise Bolt
Title
Insurance MGR
Phone
(281) 955-6582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2498 TX Primary

Addresses

Primary practice location

11514 Fallbrook
Houston, TX 77065

Mailing address

11514 Fallbrook Dr
Houston, TX 77065-4239
Phone (281) 955-6582

Other identifiers 4

IdentifierTypeStateIssuer
0055MSOtherTNBCBS GROUP
8S5120OtherTNBCBS INDIV PROV #
DC2498OtherTXDC LICENSE
1790857852OtherTXINDIVIDUAL NPI

Other names 1

  • A.KENT RICE DC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041118000159 TX Part B Supplier - Clinic/Group Practice 3173587268 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

11514 Fallbrook Dr
Houston, TX 77065
Phone (281) 955-9946

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1821215294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11514 FALLBROOK DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770654239",
            "telephone_number": "281-955-6582",
            "fax_number": "281-955-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11514 FALLBROOK",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77065",
            "telephone_number": "281-955-6582",
            "fax_number": "281-955-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CY-FAIR CHIROPRACTIC ASSOCIATES,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BOLT",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "INSURANCE MGR",
        "authorized_official_telephone_number": "281-955-6582",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0055MS",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIV PROV #",
            "identifier": "8S5120",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DC LICENSE",
            "identifier": "DC2498",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1790857852",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A.KENT RICE DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.