Tri-Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

10478 Issued in TX

Legal business name

TRI-CHIROPRACTIC PLLC

Practice address

3033 Marina Bay Dr
Suite 200
League City, TX 77573-3984

Phone

(281) 334-9300

Fax

(281) 334-9301

NPI assigned

May 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kai Borgstrom, D.C.

Title

President

Phone

(832) 444-4308

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274400000000",
    "number": "1861711491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 MARINA BAY DR",
            "address_2": "SUITE 200",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733984",
            "telephone_number": "281-334-9300",
            "fax_number": "281-334-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 MARINA BAY DR",
            "address_2": "SUITE 200",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733984",
            "telephone_number": "281-334-9300",
            "fax_number": "281-334-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-21",
        "last_updated": "2010-05-21",
        "status": "A",
        "authorized_official_last_name": "BORGSTROM",
        "authorized_official_first_name": "KAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-444-4308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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