Individual provider Active NPI

Patrick Lee Houser, B.S, D.C

  • Neurology Chiropractor
  • Charlotte, NC
National Provider Identifier
1912565755
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
4998 Issued in NC
Practice address
624 Tyvola Rd Ste 100
Charlotte, NC 28217-3585
Phone
(704) 770-8436
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 4998 NC
Orthopedic Chiropractor 111NX0800X 4998 NC
Neurology Chiropractor 111NN0400X 4998 NC Primary

Addresses

Primary practice location

624 Tyvola Rd Ste 100
Charlotte, NC 28217-3585

Mailing address

624 Tyvola Rd Ste 100
Charlotte, NC 28217-3585

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190926001153 NC Practitioner - Chiropractic 1557691060 Reassigns benefits to 1 organization
I20210831003241 FL Practitioner - Chiropractic 1557691060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

224 E Bearss Ave
Tampa, FL 33613-1625
Phone (813) 308-3050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
4998NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Life Chiropractic CurrentSince Jun 30, 2019 Accepting new patients
Momentum Chiropractic LLC CurrentSince Jun 1, 2021 Accepting new patients

Locations

224 E Bearss Ave
Tampa, FL 33613
Phone (813) 308-3050

624 Tyvola Rd
Charlotte, NC 28217
Phone (704) 770-8436

624 Tyvola Rd
Ste 100
Charlotte, NC 28217
Phone (704) 770-8436

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1912565755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 TYVOLA RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 TYVOLA RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173585",
            "telephone_number": "704-770-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSER",
        "first_name": "PATRICK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "B.S, D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "NC",
            "license": "4998",
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NC",
            "license": "4998",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "NC",
            "license": "4998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.

Verify at the official NPI Registry.