Active NPI
Chantelle Renee Paul, D.C.
- Chiropractor
- Willis, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12346
- Practice address
- 9611 FM 1097 Rd W Ste 300
Willis, TX 77318-5834 - Phone
- (936) 230-5515
- NPI assigned
- Aug 12, 2013
- Last updated
- Mar 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12346 | TX | Primary |
Addresses
Primary practice location
9611 FM 1097 Rd W Ste 300
Willis, TX 77318-5834
Mailing address
21899 Valley Ranch Crossing Dr
Porter, TX 77365-5496
Phone (231) 420-2165
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9611 FM 1097 Rd W
Suite 300
Willis, TX 77318-5834
Phone (936) 230-5515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12346 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandstone Chiropractic Conroe, PLLC | Chiropractor | Current | Accepting new patients |
| Sandstone Chiropratic, P.a. | Chiropractor | Current | Accepting new patients |
Locations
125 Blue Heron Dr
#B
Montgomery, TX 77316
Phone (936) 253-5314
9611 FM 1097 Rd W
Ste 300
Willis, TX 77318
Phone (936) 230-5515
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sandstone Chiropractic
- Chiropractor
- Conroe, TX
- NPI 1033567961
-
- Chiropractor
- Montgomery, TX
- NPI 1154585636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710115200000",
"number": "1871926006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21899 VALLEY RANCH CROSSING DR",
"city": "PORTER",
"state": "TX",
"postal_code": "773655496",
"telephone_number": "231-420-2165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9611 FM 1097 RD W STE 300",
"city": "WILLIS",
"state": "TX",
"postal_code": "773185834",
"telephone_number": "936-230-5515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "CHANTELLE",
"middle_name": "RENEE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-12",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "12346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Willis, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.