Active NPI
David Niekamp, D.C., NP-C
- Nurse Practitioner
- Houston, TX
National Provider Identifier
1114117132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP121587
- Practice address
- 3100 Timmons LN Ste 330
Houston, TX 77027-5959 - Phone
- (713) 790-1400
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC5105 | TX | |
| Family Nurse Practitioner | 363LF0000X | 781910 | TX | |
| Nurse Practitioner | 363L00000X | AP121587 | TX | Primary |
Addresses
Primary practice location
3100 Timmons LN Ste 330
Houston, TX 77027-5959
Mailing address
18310 Blanchmont LN
Houston, TX 77058-3427
Phone (832) 731-0512
Other practice location 1
2626 S Loop W
Suite 430
Houston, TX 77054-2654
Phone (713) 776-9000
Other practice location 2
9900 Bren Rd E
Minnetonka, MN 55343-9664
Phone (832) 731-0512
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC5105 | TX | MD | Chiropractor |
| 781910 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602979200000",
"number": "1114117132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18310 BLANCHMONT LN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583427",
"telephone_number": "832-731-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 TIMMONS LN STE 330",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770275959",
"telephone_number": "713-790-1400"
}
],
"practiceLocations": [
{
"address_1": "2626 S Loop W",
"address_2": "Suite 430",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770542654",
"country_code": "US",
"telephone_number": "713-776-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9900 Bren Rd E",
"address_purpose": "LOCATION",
"city": "Minnetonka",
"state": "MN",
"postal_code": "553439664",
"country_code": "US",
"telephone_number": "832-731-0512",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NIEKAMP",
"first_name": "DAVID",
"credential": "D.C., NP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2020-10-18",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC5105",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "781910",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "AP121587",
"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 Oct 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.