Spring Chiropractic & Rehab PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6962 Issued in TX

Legal business name

SPRING CHIROPRACTIC & REHAB PC

Practice address

19510 Kuykendahl Rd Ste a
Spring, TX 77379-3408

Phone

(281) 651-7111

Fax

(281) 288-9550

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Scott Thomas Bolz, DCNPI 1396730768

Title

Owner

Phone

(281) 651-7111

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott T Bolz, D.C.

  • Chiropractor
  • Spring, TX
  • NPI 1396730768
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1972792307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19510 KUYKENDAHL RD STE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793408",
            "telephone_number": "281-651-7111",
            "fax_number": "281-288-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19510 KUYKENDAHL RD STE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793408",
            "telephone_number": "281-651-7111",
            "fax_number": "281-288-9550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING CHIROPRACTIC & REHAB PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "BOLZ",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-651-7111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "89770Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Spring Creek Health Care, Inc. (Spring Creek Medical Clinic)
• Spring Creek Imaging LLC

• Chiropractor in Spring, TX
• Providers in Spring, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.