Active NPI
City of la Porte
Doing business as City of La Porte EMS
- Land Ambulance
- La Porte, TX
National Provider Identifier
1063415974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 101077
- Legal business name
- CITY OF LA PORTE
- Doing business as
- City of La Porte EMS
- Practice address
- 10428 Spencer Highway
La Porte, TX 77571-6215 - Phone
- (281) 470-0051
- Fax
- (800) 353-2196
- NPI assigned
- May 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn M Kominek
- Title
- EMS Chief
- Phone
- (281) 470-0051
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 101077 | TX | Primary |
Addresses
Primary practice location
10428 Spencer Highway
La Porte, TX 77571-6215
Mailing address
PO Box 180446
Dallas, TX 75218-0446
Phone (972) 602-2060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101077 | Other | TX | DSHS |
| 1063415974 | Medicaid | TX |
Other names 1
- City of La Porte EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120315000053 | TX | Part B Supplier - Ambulance Service Supplier | 8527227230 | Practice locations: La Porte, TX |
National Provider Directory
National Provider DirectoryLocations
10428 Spencer Hwy
La Porte, TX 77571
Phone (281) 470-0051
604 W Fairmont Pkwy
La Porte, TX 77571
Phone (713) 471-9244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1063415974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 180446",
"city": "DALLAS",
"state": "TX",
"postal_code": "752180446",
"telephone_number": "972-602-2060",
"fax_number": "800-353-2196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10428 SPENCER HIGHWAY",
"city": "LA PORTE",
"state": "TX",
"postal_code": "775716215",
"telephone_number": "281-470-0051",
"fax_number": "800-353-2196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF LA PORTE",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-24",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "KOMINEK",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "EMS CHIEF",
"authorized_official_telephone_number": "281-470-0051"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "TX",
"license": "101077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DSHS",
"identifier": "101077",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063415974",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "City of La Porte EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Porte, TX
- Lavinia Carbajal Olavarrieta
- Natalie Carrizales, DDS
- Dayna Marie Chelette, DC
- Mackenzie Cherry, R.PH
- Lindsey Christy, MS CCC-SLP
- Robert Lauriston Clark, DDS
- Colton Mobile Healthcare (Bright Eyes Mobile Vision Services)
- Colton Vision PLLC (Bright Eyes Vision Clinic)
- Sadie Cowins, LPC
- Crowned Z Investments, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.