Active NPI
Jacqueline Moore Evans, D.C.
- Sports Physician Chiropractor
- Houston, TX
National Provider Identifier
1942338280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC 4488
- Practice address
- 2408 Wheeler St
Houston, TX 77004-5250 - Phone
- (832) 725-7406
- Fax
- (800) 381-9202
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC 4488 | TX | Primary |
Addresses
Primary practice location
2408 Wheeler St
Houston, TX 77004-5250
Mailing address
PO Box 182542
Arlington, TX 76096-2542
Phone (832) 725-7406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC 4488 | TX | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1942338280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 182542",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760962542",
"telephone_number": "832-725-7406",
"fax_number": "180-038-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2408 WHEELER ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770045250",
"telephone_number": "832-725-7406",
"fax_number": "800-381-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "JACQUELINE",
"middle_name": "MOORE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "TX",
"license": "DC 4488",
"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 Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.