Individual provider Active NPI

Kennedy Kenneth Tyer, DC

  • Chiropractor
  • Houston, TX
National Provider Identifier
1083064588
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13213 Issued in TX
Practice address
2022 W Alabama St
Houston, TX 77098-2708
Phone
(713) 522-9814
Fax
(713) 522-3047
NPI assigned
Jun 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13213 TX Primary

Addresses

Primary practice location

2022 W Alabama St
Houston, TX 77098-2708

Mailing address

2022 W Alabama St
Houston, TX 77098-2708
Phone (713) 522-9814

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727001241 TX Practitioner - Chiropractic 9133412232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natural Health Houston PAGroup PAC ID 0749314037, 2 clinicians

Practice addresses (Care Compare)

2211 Norfolk St
Suite 105
Houston, TX 77098-4044
Phone (713) 522-9814

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13213TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Natural Health Houston PA CurrentSince Jun 13, 2016 Accepting new patients
Flux Metabolic Restoration Center PLLC PastSince Jul 25, 2011 Accepting new patients

Locations

2022 W Alabama St
Houston, TX 77098
Phone (713) 522-9814

2211 Norfolk St
Ste 105
Houston, TX 77098
Phone (346) 348-2222

5211 Highway 6
Ste B
Missouri City, TX 77459
Phone (281) 895-2054

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1083064588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770982708",
            "telephone_number": "713-522-9814",
            "fax_number": "713-522-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 W ALABAMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770982708",
            "telephone_number": "713-522-9814",
            "fax_number": "713-522-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYER",
        "first_name": "KENNEDY",
        "middle_name": "KENNETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-15",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13213",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.