Organization Active NPI

College Station Chiropractic, P.C.

  • Chiropractor
  • College Station, TX
National Provider Identifier
1922445337
Registry record updated May 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4237 Issued in TX
Legal business name
COLLEGE STATION CHIROPRACTIC, P.C.
Practice address
1605 Rock Prairie Rd Ste 222
College Station, TX 77845-8358
Phone
(979) 696-1995
NPI assigned
May 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2013

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

Authorized official

Name
Dr. Marcy Halterman, D.C.
Title
Owner
Phone
(979) 696-1996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4237 TX Primary

Addresses

Primary practice location

1605 Rock Prairie Rd Ste 222
College Station, TX 77845-8358

Mailing address

PO Box 133
Wellborn, TX 77881-0133
Phone (979) 696-1996

National Provider Directory

National Provider Directory

Locations

750 William D Fitch Pkwy
Ste 240
College Station, TX 77845
Phone (979) 669-1996

Practitioners & affiliated clinicians

Practitioners 6

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": "1369353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369353600000",
    "number": "1922445337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "WELLBORN",
            "state": "TX",
            "postal_code": "778810133",
            "telephone_number": "979-696-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 ROCK PRAIRIE RD STE 222",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458358",
            "telephone_number": "979-696-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE STATION CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-24",
        "last_updated": "2013-05-24",
        "status": "A",
        "authorized_official_last_name": "HALTERMAN",
        "authorized_official_first_name": "MARCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-696-1996",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2013; 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.