Individual provider Active NPI

Philip Vincent Cordova, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1861403784
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8673 Issued in TX
Practice address
1770 Saint James PL
Suite 210
Houston, TX 77056-3471
Phone
(713) 622-3300
Fax
(713) 622-3207
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8673 TX Primary

Addresses

Primary practice location

1770 Saint James PL
Suite 210
Houston, TX 77056-3471

Mailing address

1770 Saint James PL
Suite 210
Houston, TX 77056-3471
Phone (713) 622-3300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222000826 TX Practitioner - Chiropractic 5890018980 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Core Chiropractic Inc.Group PAC ID 0345471165, 7 clinicians

Practice addresses (Care Compare)

1770 Saint James PL
Suite 210
Houston, TX 77056-3432
Phone (713) 622-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8673TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Core Chiropractic Memorial City LLC Chiropractor CurrentSince Dec 21, 2025 Accepting new patients
Core Chiropractic Inc Chiropractor CurrentSince Jun 21, 2014 Accepting new patients

Locations

1770 Saint James Pl
Ste 210
Houston, TX 77056
Phone (713) 622-3300

Organizations & group practices 2

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216684800000",
    "number": "1861403784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 SAINT JAMES PL",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563471",
            "telephone_number": "713-622-3300",
            "fax_number": "713-622-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 SAINT JAMES PL",
            "address_2": "SUITE 210",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770563471",
            "telephone_number": "713-622-3300",
            "fax_number": "713-622-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "PHILIP",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2008-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 22, 2008; 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.