JAKE C TIJERINA (NPI# 1679934160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679934160 |
| Entity Type | Individual |
| Full Name | JAKE C TIJERINA |
| Credential | D.C. |
| Practice Address |
2601 W Lake Houston Pkwy Kingwood TX 77339-5222 |
| Mailing Address |
911 Central Pkwy N Suite 300 San Antonio TX 78232-5052 |
| Practice Telephone | 2104774965 |
| Practice Fax Number | 2104680682 |
| Mailing Telephone | 2104774965 |
| Mailing Fax Number | 2104680682 |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2016-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 13181 | TX | Chiropractic Providers |
| Street Address |
2601 W LAKE HOUSTON PKWY |
| City | KINGWOOD |
| State | TX |
| Zip Code | 77339-5222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335517 | Bryan Novosad | Family Medicine | 2601 W Lake Houston Pkwy, Kingwood, TX 77339-5222 | 2005-09-02 |
| 1700391406 | Gooya Healthcare Services, LLC | Family Medicine | 2601 W Lake Houston Pkwy, Kingwood, TX 77339-5222 | 2017-12-05 |
| 1558733345 | Welbridge Acupuncture | Acupuncturist | 2601 W Lake Houston Pkwy, Kingwood, TX 77339-5222 | 2015-10-20 |
| 1326386947 | Paul Applewhite | Radiologic Technologist | 2601 W Lake Houston Pkwy, Kingwood, TX 77339-5222 | 2013-01-17 |
| 1144588740 | Vip Health Services, LLC. | Health Maintenance Organization | 2601 W Lake Houston Pkwy, Kingwood, TX 77339-5222 | 2012-05-02 |
| 1790058220 | Kenneth Nelson Deas | Physician Assistant | 2601 W Lake Houston Pkwy, Kingwood, TX 77339-5222 | 2012-02-14 |
| 1841586542 | Chester Ray Harris | Nutritionist | 2601 W Lake Houston Pkwy, Kingwood, TX 77339-5222 | 2011-06-22 |
| 1205146081 | Felicia Korto | Physician Assistant | 2601 W Lake Houston Pkwy, Kingwood, TX 77339-5222 | 2010-10-14 |
| 1750576989 | John Edward Wootton | Physician Assistant | 2601 W Lake Houston Pkwy, Kingwood, TX 77339-5222 | 2007-09-11 |
| 1568652709 | Winslow Medical Center, Inc. | Health Maintenance Organization | 2601 W Lake Houston Pkwy, Kingwood, TX 77339-5222 | 2007-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913669 | Robert Rowlands | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Kingwood, Tx, 77339, Kingwood, TX 77339 | 2020-05-14 |
| 1295356467 | Christopher Dilger | Student in an Organized Health Care Education/Training Program | 22999 Us Hwy 59 N, Gme Suite 105, Kingwood, TX 77339 | 2020-04-29 |
| 1427600337 | Lynda Nguyen | Nurse Practitioner | 24006 Highway 59 N, Kingwood, TX 77339 | 2019-07-11 |
| 1215599139 | H-e-b, Lp | Clinical Medical Laboratory | 19529 Northpark Drive, Kingwood, TX 77339 | 2019-07-01 |
| 1639631492 | Trung Nguyen | Student in an Organized Health Care Education/Training Program | 22999 Us 59 N, Kingwood, TX 77339 | 2019-04-02 |
| 1467913673 | Bhavin G Shah | Student in an Organized Health Care Education/Training Program | 22999 Us-59 N, Kingwood, Tx 77339, Kingwood, TX 77339 | 2019-03-29 |
| 1164999462 | Erica Peters | Behavior Technician | 2825 W. Town Center Circle, Kingwood, TX 77339 | 2018-10-25 |
| 1780162040 | Kaldan Inc | Dentist | 23812 Hwy 59 North, Kingwood, TX 77339 | 2018-07-30 |
| 1457845745 | John Micheal Leondike | Nurse Practitioner | 2665 Royal Forrest Dr., Ste B-150, Kingwood, TX 77339 | 2018-06-19 |
| 1780173161 | Pta Home Health Care | Home Health | 5606 Rocky Trail Dr, Kingwood, TX 77339 | 2018-05-01 |
| Find all providers in zip 77339 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396221206 | Curtis Hoang | Chiropractor | 900 Rockmead Dr Ste 100, Kingwood, TX 77339-2150 | 2018-07-13 |
| 1467949701 | Lauren Do | Chiropractor | 4521 Kingwood Dr Ste 160, Kingwood, TX 77345-2602 | 2018-04-20 |
| 1699027169 | Lewis M Clark Dc Pllc | Chiropractor | 23836 Highway 59 N, Kingwood, TX 77339-9931 | 2012-10-09 |
| 1689966137 | Scott Chiropractic Clinic PC | Chiropractor | 1380-1 Stonehollow Dr, Kingwood, TX 77339-2031 | 2011-05-03 |
| 1407055791 | David J Massey | Chiropractor | 530 Kingwood Dr, Kingwood, TX 77339-4473 | 2007-07-16 |
| 1770615593 | Brian C Dannenfelser | Chiropractor | 2316 Timber Shadows, Suite 101, Kingwood, TX 77339 | 2007-03-09 |
| 1942339080 | Elaine Scott | Chiropractor | 1380 Stonehollow Dr, Suite 1, Kingwood, TX 77339-1773 | 2007-03-05 |
| 1093842155 | Stacy Scott | Chiropractor | 2316 Timber Shadows #101, Kingwood, TX 77339 | 2007-02-27 |
| 1023177136 | Stephen Dwight Herto | Chiropractor | 425 E Main St Ste 418, Kingwood, WV 26537-1793 | 2006-12-06 |
| 1558445031 | Jeffrey Charles Coy | Chiropractor | 3052 Northpark Dr, Kingwood, TX 77345 | 2006-10-24 |
| Find all providers in KINGWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.