Michael Todd Fleck, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC6063 Issued in TX

Practice address

150 W Gibson St
Jasper, TX 75951-4936

Phone

(409) 384-7776

Fax

(409) 384-7779

NPI assigned

Jun 15, 2006

Sex

Male

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)

Not 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.

• East Texas Chiropractic of Jasper, PA

  • Chiropractor
  • Jasper, TX
  • NPI 1699893230
  NPD (past)

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932143310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514936",
            "telephone_number": "409-384-7776",
            "fax_number": "409-384-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W GIBSON ST",
            "city": "JASPER",
            "state": "TX",
            "postal_code": "759514936",
            "telephone_number": "409-384-7776",
            "fax_number": "409-384-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLECK",
        "first_name": "MICHAEL",
        "middle_name": "TODD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER",
            "identifier": "89161S",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emd Health Centers Inc.
• Eric R. Koch DDS PC
• Eye Center of Jasper, PLLC
• Fems Transportation, Inc. (Freedom One EMS)
• William Charles Fincannon, D.D.S.
• Kala Foltyn
• Carey R Fracht, O.D.
• Fresenius Kidney Care Jasper, LLC (Fresenius Kidney Care Jasper)
• Patricia A Galos, O.D.
• Meryl Alice Gardner, FNP-C

• Chiropractor in Jasper, TX
• Providers in Jasper, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.