Organization Active NPI

Divine Massage Clinic, LLC

  • Chiropractor
  • Baytown, TX
National Provider Identifier
1831404110
Registry record updated Aug 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F009131 Issued in TX
Legal business name
DIVINE MASSAGE CLINIC, LLC
Practice address
5010 Garth Rd
Ste 206
Baytown, TX 77521-2224
Phone
(281) 421-3600
Fax
(281) 421-3611
NPI assigned
Aug 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2010

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

Authorized official

Name
Mr. Joe Holt
Title
Owner
Phone
(281) 421-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X F009131 TX Primary

Addresses

Primary practice location

5010 Garth Rd
Ste 206
Baytown, TX 77521-2224

Mailing address

5010 Garth Rd
Ste 206
Baytown, TX 77521-2224
Phone (281) 421-3600

National Provider Directory

National Provider Directory

Locations

5010 Garth Rd
Ste 206
Baytown, TX 77521
Phone (281) 421-3600

Practitioners & affiliated clinicians

Practitioners 1

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": "1281484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281484800000",
    "number": "1831404110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 GARTH RD",
            "address_2": "STE 206",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212224",
            "telephone_number": "281-421-3600",
            "fax_number": "281-421-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 GARTH RD",
            "address_2": "STE 206",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212224",
            "telephone_number": "281-421-3600",
            "fax_number": "281-421-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MASSAGE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-11",
        "last_updated": "2010-08-11",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-421-3600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F009131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.