Organization Active NPI

City of la Porte

Doing business as City of La Porte EMS

  • Land Ambulance
  • La Porte, TX
National Provider Identifier
1063415974
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
101077 Issued in TX
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

Updated by the provider on Jun 23, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101077OtherTXDSHS
1063415974MedicaidTX

Other names 1

  • City of La Porte EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120315000053 TX Part B Supplier - Ambulance Service Supplier 8527227230 Practice locations: La Porte, TX

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.