Organization Active NPI

Landavazo Chiropractic

  • Chiropractor
  • Corpus Christi, TX
National Provider Identifier
1992113997
Registry record updated Jul 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LANDAVAZO CHIROPRACTIC
Practice address
6009 S Staples St
Corpus Christi, TX 78413-2901
Phone
(361) 854-2440
Fax
(361) 854-2477
NPI assigned
Jul 23, 2014
Last updated
Jul 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2014

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

Authorized official

Name
Dr. Imogene Yvonne Landavazo, D.C.NPI 1891881942
Title
Doctor
Phone
(361) 854-2440

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

6009 S Staples St
Corpus Christi, TX 78413-2901

Mailing address

PO Box 271248
Corpus Christi, TX 78427-1248
Phone (361) 854-2440

National Provider Directory

National Provider Directory

Locations

6009 S Staples St
Corpus Christi, TX 78413
Phone (361) 854-2440

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406073600000",
    "number": "1992113997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 271248",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784271248",
            "telephone_number": "361-854-2440",
            "fax_number": "361-854-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 S STAPLES ST",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132901",
            "telephone_number": "361-854-2440",
            "fax_number": "361-854-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDAVAZO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A",
        "authorized_official_last_name": "LANDAVAZO",
        "authorized_official_first_name": "IMOGENE",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "361-854-2440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 23, 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.