Organization Active NPI

Healthsource of Katy West

  • Chiropractor
  • Katy, TX
National Provider Identifier
1982226783
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HEALTHSOURCE OF KATY WEST
Practice address
1417 FM 1463 Rd Ste 140
Katy, TX 77494-5456
Phone
(832) 517-0911
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Shane Sigg, DC
Title
Owner
Phone
(832) 517-0911

Specialties & licenses 1

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

Addresses

Primary practice location

1417 FM 1463 Rd Ste 140
Katy, TX 77494-5456

Mailing address

1417 FM 1463 Rd Ste 140
Katy, TX 77494-5456
Phone (832) 517-0911

Other identifiers 1

IdentifierTypeStateIssuer
11987OtherTXSTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Katy

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1982226783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 FM 1463 RD STE 140",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945456",
            "telephone_number": "832-517-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 FM 1463 RD STE 140",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774945456",
            "telephone_number": "832-517-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF KATY WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "SIGG",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-517-0911",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11987",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Katy",
            "affiliation": "N",
            "address_1": "1417 Fm 1463 Rd Ste 140",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774945456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.