Koala Health & Wellness Centers Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F004567 Issued in TX

Legal business name

KOALA HEALTH & WELLNESS CENTERS INC.

Practice address

4665 SW Fwy
#214
Houston, TX 77027

Phone

(713) 652-9777

Fax

(713) 651-0584

NPI assigned

Mar 16, 2007

Last updated

Oct 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edwin Dean Kieke, D.C.NPI 1730214560

Title

Vice President

Phone

(713) 652-9777

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Edwin Dean Kieke, DC

  • Chiropractor
  • Houston, TX
  • NPI 1730214560
  NPD Authorized official
• Rheagan Khrisha Mulder, DC

  • Chiropractor
  • Houston, TX
  • NPI 1124343322
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1073637260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4665 SW FWY",
            "address_2": "#214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "713-652-9777",
            "fax_number": "713-651-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4665 SW FWY",
            "address_2": "#214",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77027",
            "telephone_number": "713-652-9777",
            "fax_number": "713-651-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOALA HEALTH & WELLNESS CENTERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2021-10-15",
        "certification_date": "2021-10-15",
        "status": "A",
        "authorized_official_last_name": "KIEKE",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "713-652-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F004567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID",
            "identifier": "0008ER",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet A Knudson, OTR
• Nadia Shaaban Knutzen, LPC-A
• Mi Kyung Ko, M.D.
• Ryan Brendan Ko, MD
• Tien C Ko, M.D.
• Koala Health & Wellness Testing & Performance Centers, LP (Koala Sports Medicine Centers)
• Koaleh LLC.
• Eugene J Koay, M.D., PH.D.
• Kathleen C Kobashi, MD
• Kayta Kobayashi, PHARMD

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; 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.