Individual provider Active NPI

David Niekamp, D.C., NP-C

  • Nurse Practitioner
  • Houston, TX
National Provider Identifier
1114117132
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP121587 Issued in TX
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

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DC5105TXMDChiropractor
781910TXMDFamily 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.

Verify at the official NPI Registry.