Organization Active NPI

Nxtgen LLC

Doing business as Nxtgen Health and Wellness

  • Chiropractor
  • Houston, TX
National Provider Identifier
1821317561
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12731 Issued in TX
Legal business name
NXTGEN LLC
Doing business as
Nxtgen Health and Wellness
Practice address
1570 S Dairy Ashford Rd
108
Houston, TX 77077-3855
Phone
(832) 243-5233
Fax
(832) 770-4987
NPI assigned
May 20, 2010
Last updated
Jan 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Authorized official

Name
Matthew Kelleher
Title
President
Phone
(619) 251-9367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 12731 TX Primary

Addresses

Primary practice location

1570 S Dairy Ashford Rd
108
Houston, TX 77077-3855

Mailing address

1570 S Dairy Ashford Rd
108
Houston, TX 77077-3855
Phone (832) 243-5233

Other identifiers 1

IdentifierTypeStateIssuer
5901637OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Nxtgen Health and Wellness Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1821317561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 S DAIRY ASHFORD RD",
            "address_2": "108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773855",
            "telephone_number": "832-243-5233",
            "fax_number": "832-770-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 S DAIRY ASHFORD RD",
            "address_2": "108",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770773855",
            "telephone_number": "832-243-5233",
            "fax_number": "832-770-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NXTGEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-20",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "KELLEHER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-251-9367"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5901637",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nxtgen Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 12, 2017; 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.