Individual provider Active NPI

Te'Lila Dannette Robinson, D.C.

  • Chiropractor
  • Missouri City, TX
National Provider Identifier
1821353582
Registry record updated Oct 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12085 Issued in TX
Practice address
2825 Dulles Ave
Missouri City, TX 77459-2950
Phone
(832) 947-3715
Fax
(888) 599-0831
NPI assigned
Jul 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12085 TX Primary

Addresses

Primary practice location

2825 Dulles Ave
Missouri City, TX 77459-2950

Mailing address

10223 Broadway St
Suite P. #422
Pearland, TX 77584-7880
Phone (832) 947-3715

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112001224 TX Practitioner - Chiropractic 3577865286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2825 Dulles Ave
Missouri City, TX 77459-2950
Phone (832) 987-1715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12085TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Full Circle Chiropractic and Wellness Center, LLC. CurrentSince Oct 20, 2015 Accepting new patients

Locations

2825 Dulles Ave
Missouri City, TX 77459
Phone (832) 947-3715

10223 Broadway St
Ste P
Pearland, TX 77584
Phone (346) 754-5332

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": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477008000000",
    "number": "1821353582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10223 BROADWAY ST",
            "address_2": "SUITE P. #422",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847880",
            "telephone_number": "832-947-3715",
            "fax_number": "888-599-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 DULLES AVE",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774592950",
            "telephone_number": "832-947-3715",
            "fax_number": "888-599-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TE'LILA",
        "middle_name": "DANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2016-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2016; 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.