Organization Active NPI

Aggieland Chiropractic & Wellness Center PC

  • Chiropractor
  • College Station, TX
National Provider Identifier
1972742575
Registry record updated May 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10699 Issued in TX
Legal business name
AGGIELAND CHIROPRACTIC & WELLNESS CENTER PC
Practice address
505 University Dr E Ste 803
College Station, TX 77840-1747
Phone
(979) 703-8090
Fax
(979) 703-8091
NPI assigned
Feb 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2009

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

Authorized official

Name
Dr. Karly Newbern, D.C.
Title
Chiropractor
Phone
(979) 703-8090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10699 TX Primary

Addresses

Primary practice location

505 University Dr E Ste 803
College Station, TX 77840-1747

Mailing address

505 University Dr E Ste 803
College Station, TX 77840-1747
Phone (979) 703-8090

National Provider Directory

National Provider Directory

Locations

505 University Dr E
Ste 803
College Station, TX 77840
Phone (214) 477-9867

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": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242777600000",
    "number": "1972742575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 UNIVERSITY DR E STE 803",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778401747",
            "telephone_number": "979-703-8090",
            "fax_number": "979-703-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 UNIVERSITY DR E STE 803",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778401747",
            "telephone_number": "979-703-8090",
            "fax_number": "979-703-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGGIELAND CHIROPRACTIC & WELLNESS CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2009-05-20",
        "status": "A",
        "authorized_official_last_name": "NEWBERN",
        "authorized_official_first_name": "KARLY",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "979-703-8090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2009; 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.