Active NPI
Kourosh Golban, D.C.
- Rehabilitation Chiropractor
- Houston, TX
National Provider Identifier
1063817534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 10834
- Practice address
- 8811 Westheimer Rd
Suite 101
Houston, TX 77063-3626 - Phone
- (713) 978-6337
- NPI assigned
- Oct 27, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 10834 | TX | Primary |
Addresses
Primary practice location
8811 Westheimer Rd
Suite 101
Houston, TX 77063-3626
Mailing address
1601 S Shepherd Dr
282
Houston, TX 77019-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10834 | Other | TX | TEXAS BOARD OF CIROPRACTIC EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10834 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414368000000",
"number": "1063817534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 S SHEPHERD DR",
"address_2": "282",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770193500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8811 WESTHEIMER RD",
"address_2": "SUITE 101",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770633626",
"telephone_number": "713-978-6337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLBAN",
"first_name": "KOUROSH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-27",
"last_updated": "2014-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "10834",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF CIROPRACTIC EXAMINERS",
"identifier": "10834",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.