Organization Active NPI

Montgomery Chiropractic, P.C.

  • Chiropractor
  • Belton, TX
National Provider Identifier
1881628899
Registry record updated Oct 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
111N00000X Issued in TX
Legal business name
MONTGOMERY CHIROPRACTIC, P.C.
Practice address
401 E 6TH Ave
Belton, TX 76513-2667
Phone
(254) 939-5801
Fax
(254) 939-2229
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2008

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

Authorized official

Name
Larry Rewel Montgomery, D.C.
Title
President
Phone
(254) 939-5801

Specialties & licenses 1

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

Addresses

Primary practice location

401 E 6TH Ave
Belton, TX 76513-2667

Mailing address

401 E 6TH Ave
Belton, TX 76513-2667
Phone (254) 939-5801

Other identifiers 1

IdentifierTypeStateIssuer
0041JFOtherTXBC/BS GROUP ID#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040511000551 TX Part B Supplier - Clinic/Group Practice 5890784110 Receives reassigned benefits from 2 practitioners
Practice locations: Belton, TX

National Provider Directory

National Provider Directory

Locations

401 E 6th Ave
Belton, TX 76513
Phone (254) 939-5801

Practitioners & affiliated clinicians

Practitioners 2

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": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222992000000",
    "number": "1881628899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 6TH AVE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132667",
            "telephone_number": "254-939-5801",
            "fax_number": "254-939-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 6TH AVE",
            "city": "BELTON",
            "state": "TX",
            "postal_code": "765132667",
            "telephone_number": "254-939-5801",
            "fax_number": "254-939-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-10-03",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "REWEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "254-939-5801",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "111N00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS GROUP  ID#",
            "identifier": "0041JF",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.