Organization Active NPI

Rice Chiropractic Clinic

  • Chiropractor
  • Conroe, TX
National Provider Identifier
1912408303
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10277 Issued in TX
Legal business name
RICE CHIROPRACTIC CLINIC
Practice address
204 N 1St St
Conroe, TX 77301-2920
Phone
(936) 756-2415
Fax
(936) 756-2415
NPI assigned
Feb 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Authorized official

Name
Dr. Eli Cummings, DC
Title
Doctor/Owner
Phone
(832) 419-7067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10277 TX Primary

Addresses

Primary practice location

204 N 1St St
Conroe, TX 77301-2920

Mailing address

204 N 1St St
Conroe, TX 77301-2920
Phone (936) 756-2415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181029000982 TX Part B Supplier - Clinic/Group Practice 8729331384 Receives reassigned benefits from 1 practitioner
Practice locations: Conroe, TX

National Provider Directory

National Provider Directory

Locations

204 N 1st St
Conroe, TX 77301
Phone (936) 756-2415

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": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1912408303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 1ST ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012920",
            "telephone_number": "936-756-2415",
            "fax_number": "936-756-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N 1ST ST",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773012920",
            "telephone_number": "936-756-2415",
            "fax_number": "936-756-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "ELI",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "832-419-7067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conroe, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.