Organization Active NPI

Advanced Nutritional Medicine Center, LLC

  • Chiropractor
  • Galveston, TX
National Provider Identifier
1932806114
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ADVANCED NUTRITIONAL MEDICINE CENTER, LLC
Practice address
13701 FM 3005
Ste a
Galveston, TX 77554
Phone
(713) 557-1013
Fax
(888) 225-2533
NPI assigned
Feb 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Mark Schulz, DCNPI 1922001288
Title
Owner
Phone
(713) 557-1013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

13701 FM 3005
Ste a
Galveston, TX 77554

Mailing address

2521 Beluche Dr
Galveston, TX 77551-1503
Phone (713) 557-1013

Other practice location 1

4141 Southwest Fwy Ste 615
Houston, TX 77027-7334
Phone (713) 557-1013

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230728002038 TX Part B Supplier - Clinic/Group Practice 0547621120 Receives reassigned benefits from 1 practitioner
Practice locations: Galveston, TX

National Provider Directory

National Provider Directory

Locations

4141 Southwest Fwy
Ste 615
Houston, TX 77027
Phone (514) 576-1535

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": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1932806114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 BELUCHE DR",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775511503",
            "telephone_number": "713-557-1013",
            "fax_number": "888-225-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 FM 3005",
            "address_2": "STE A",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "77554",
            "telephone_number": "713-557-1013",
            "fax_number": "888-225-2533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4141 Southwest Fwy Ste 615",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770277334",
            "country_code": "US",
            "telephone_number": "713-557-1013",
            "fax_number": "888-225-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED NUTRITIONAL MEDICINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "SCHULZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-557-1013",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.