Imogene Yvonne Landavazo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3071 Issued in TX

Practice address

6601 Everhart
Ste B3
Corpus Christi, TX 78413

Phone

(361) 854-2440

Fax

(361) 854-2477

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Landavazo Chiropractic

  • Chiropractor
  • Corpus Christi, TX
  • NPI 1992113997
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280188800000",
    "number": "1891881942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 EVERHART",
            "address_2": "STE B3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78413",
            "telephone_number": "361-854-2440",
            "fax_number": "361-854-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 EVERHART",
            "address_2": "STE B3",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "78413",
            "telephone_number": "361-854-2440",
            "fax_number": "361-854-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDAVAZO",
        "first_name": "IMOGENE",
        "middle_name": "YVONNE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "3071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001208001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ellen G Lamanilao, FNP-C
• Kathleen Lamb, LPC. I
• Courtney Lee Lamontagne, LMT
• Christopher Thomas Lancaster, DO
• Landavazo Chiropractic
• Pamela Phillips Landers, MS
• Julian Landrove
• Anayda Graciela Landry, M.D.
• Aeriel Lane, MS, BCBA
• Ileana C Lane, LPC

• Chiropractor in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.