Individual provider Active NPI

Jeffrey M Marlatt, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1871678169
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4747 Issued in TX
Practice address
11837 Wilcrest Dr
Houston, TX 77031-1919
Phone
(281) 495-2225
Fax
(281) 495-3945
NPI assigned
Oct 26, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4747 TX Primary

Addresses

Primary practice location

11837 Wilcrest Dr
Houston, TX 77031-1919

Mailing address

11837 Wilcrest Dr
Houston, TX 77031-1919
Phone (281) 495-2225

Other identifiers 1

IdentifierTypeStateIssuer
603929MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000092 TX Practitioner - Chiropractic 6204001308 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11837 Wilcrest Dr
Houston, TX 77031-1919
Phone (281) 495-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4747TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1871678169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11837 WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311919",
            "telephone_number": "281-495-2225",
            "fax_number": "281-495-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11837 WILCREST DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770311919",
            "telephone_number": "281-495-2225",
            "fax_number": "281-495-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLATT",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "603929",
            "state": "TX"
        }
    ],
    "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 9, 2007; 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.