Individual provider Active NPI

Stephen Mathew Clouthier, DC

  • Chiropractor
  • The Woodlands, TX
National Provider Identifier
1821289786
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7227 Issued in TX
Practice address
2829 Technology Forest Blvd Ste 250
The Woodlands, TX 77381-3913
Phone
(281) 419-9104
Fax
(281) 419-8887
NPI assigned
Aug 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 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 7227 TX Primary

Addresses

Primary practice location

2829 Technology Forest Blvd Ste 250
The Woodlands, TX 77381-3913

Mailing address

4840 W Panther Creek Dr
Suite 200
The Woodlands, TX 77381
Phone (281) 419-9104

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alternative Health Center of the Woodlands Chiropractor CurrentSince Mar 9, 2020 Accepting new patients

Locations

2829 Technology Forest Blvd
Ste 250
The Woodlands, TX 77381
Phone (281) 419-9104

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1821289786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 W PANTHER CREEK DR",
            "address_2": "SUITE 200",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "77381",
            "telephone_number": "281-419-9104",
            "fax_number": "281-419-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 TECHNOLOGY FOREST BLVD STE 250",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773813913",
            "telephone_number": "281-419-9104",
            "fax_number": "281-419-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUTHIER",
        "first_name": "STEPHEN",
        "middle_name": "MATHEW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-06",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "7227",
            "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 Mar 3, 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.