Organization Active NPI

Greater Heights Wellness & Rehab, L.L.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1891148433
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6028 Issued in TX
Legal business name
GREATER HEIGHTS WELLNESS & REHAB, L.L.C.
Practice address
12218 Jones Rd Ste H
Houston, TX 77070-5268
Phone
(713) 292-8150
NPI assigned
Jul 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Dr. Demetris Phoebus Xydas, D.C.
Title
President
Phone
(713) 292-8150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6028 TX Primary

Addresses

Primary practice location

12218 Jones Rd Ste H
Houston, TX 77070-5268

Mailing address

12218 Jones Rd Ste H
Houston, TX 77070-5268
Phone (713) 292-8150

National Provider Directory

National Provider Directory

Locations

12218 Jones Rd
Ste H
Houston, TX 77070
Phone (281) 807-9210

Practitioners & affiliated clinicians

Practitioners 1

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": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1891148433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12218 JONES RD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705268",
            "telephone_number": "713-292-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12218 JONES RD STE H",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770705268",
            "telephone_number": "713-292-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HEIGHTS WELLNESS & REHAB, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "XYDAS",
        "authorized_official_first_name": "DEMETRIS",
        "authorized_official_middle_name": "PHOEBUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-292-8150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6028",
            "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 Jun 18, 2019; 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.