Organization Active NPI

John M Dulak Chiropractor PC

  • Chiropractor
  • Corpus Christi, TX
National Provider Identifier
1942525514
Registry record updated Jan 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2380 Issued in TX
Legal business name
JOHN M DULAK CHIROPRACTOR PC
Practice address
3230 Reid Dr Ste D
Corpus Christi, TX 78404-2553
Phone
(361) 884-7187
Fax
(361) 882-7350
NPI assigned
Apr 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2014

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

Authorized official

Name
John Dulak, D.C.
Title
Owner
Phone
(361) 884-7187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2380 TX Primary

Addresses

Primary practice location

3230 Reid Dr Ste D
Corpus Christi, TX 78404-2553

Mailing address

3230 Reid Dr Ste D
Corpus Christi, TX 78404-2553
Phone (361) 884-7187

Other identifiers 1

IdentifierTypeStateIssuer
2380OtherTXCHIROPRACTIC LICENSE

National Provider Directory

National Provider Directory

Locations

3230 Reid Dr
Ste D
Corpus Christi, TX 78404
Phone (361) 884-7187

NPI Registry JSON

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

{
    "created_epoch": "1270598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390953600000",
    "number": "1942525514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3230 REID DR STE D",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042553",
            "telephone_number": "361-884-7187",
            "fax_number": "361-882-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 REID DR STE D",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042553",
            "telephone_number": "361-884-7187",
            "fax_number": "361-882-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN M DULAK CHIROPRACTOR PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-07",
        "last_updated": "2014-01-29",
        "status": "A",
        "authorized_official_last_name": "DULAK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "361-884-7187",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "2380",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2014; 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.