Individual provider Active NPI

Tyler Slagowski, D.C.

  • Chiropractor
  • Houston, TX
National Provider Identifier
1932428950
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11406 Issued in TX
Practice address
110 Vintage Park Blvd
Suite D Building J
Houston, TX 77070-4047
Phone
(281) 251-3531
Fax
(877) 688-2225
NPI assigned
Jun 1, 2010
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11406 TX Primary

Addresses

Primary practice location

110 Vintage Park Blvd
Suite D Building J
Houston, TX 77070-4047

Mailing address

110 Vintage Park Blvd
Suite D Building J
Houston, TX 77070-4047
Phone (281) 251-3531

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140211001370 TX Practitioner - Chiropractic 8921237132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

110 Vintage Park Blvd
Suite D
Houston, TX 77070-4047
Phone (281) 251-3531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
We Got Your Back Chiropractic Rehabilitation Clinic LLC Chiropractor CurrentSince Dec 13, 2013 Accepting new patients

Locations

110 Vintage Park Blvd
Ste D
Houston, TX 77070
Phone (281) 251-3531

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1932428950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 VINTAGE PARK BLVD",
            "address_2": "SUITE D BUILDING J",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704047",
            "telephone_number": "281-251-3531",
            "fax_number": "877-688-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 VINTAGE PARK BLVD",
            "address_2": "SUITE D BUILDING J",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704047",
            "telephone_number": "281-251-3531",
            "fax_number": "877-688-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLAGOWSKI",
        "first_name": "TYLER",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-01",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2012; 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.