Organization Active NPI

Fletcher Family Chiropractic

  • Chiropractor
  • Portland, TX
National Provider Identifier
1851788780
Registry record updated Apr 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8813 Issued in TX
Legal business name
FLETCHER FAMILY CHIROPRACTIC
Practice address
1700 Wildcat Dr
Suite C
Portland, TX 78374-2817
Phone
(361) 643-2225
Fax
(361) 643-2227
NPI assigned
Apr 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2015

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

Authorized official

Name
Walker Landen Fletcher, DCNPI 1235173360
Title
Owner
Phone
(361) 643-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 8813 TX Primary

Addresses

Primary practice location

1700 Wildcat Dr
Suite C
Portland, TX 78374-2817

Mailing address

1700 Wildcat Dr
Suite C
Portland, TX 78374-2817
Phone (361) 643-2225

Other identifiers 1

IdentifierTypeStateIssuer
1503534-01MedicaidTX

National Provider Directory

National Provider Directory

Locations

1700 Wildcat Dr
Ste C
Portland, TX 78374
Phone (361) 643-2225

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": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429228800000",
    "number": "1851788780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 WILDCAT DR",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742817",
            "telephone_number": "361-643-2225",
            "fax_number": "361-643-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WILDCAT DR",
            "address_2": "SUITE C",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783742817",
            "telephone_number": "361-643-2225",
            "fax_number": "361-643-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLETCHER FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-04-17",
        "status": "A",
        "authorized_official_last_name": "FLETCHER",
        "authorized_official_first_name": "WALKER",
        "authorized_official_middle_name": "LANDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-643-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1503534-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; 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.