Organization Active NPI

Kuykendahl Medical Center

  • Emergency Care Clinic/Center
  • Spring, TX
National Provider Identifier
1124242862
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 261QE0002X
License
160010 Issued in TX
Legal business name
KUYKENDAHL MEDICAL CENTER
Practice address
21301 Kuykendahl Rd
Suite a
Spring, TX 77379-2611
Phone
(281) 803-1000
Fax
(972) 899-5954
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Authorized official

Name
Tim Fielding
Title
Cfo
Phone
(972) 899-6650

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X
Emergency Care Clinic/Center 261QE0002X 160010 TX Primary

Addresses

Primary practice location

21301 Kuykendahl Rd
Suite a
Spring, TX 77379-2611

Mailing address

PO Box 840795
Dallas, TX 75284-0795
Phone (972) 899-6650

Other identifiers 1

IdentifierTypeStateIssuer
434148OtherTXJCAHO

Other names 1

  • First Choice Emergency Room Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382659200000",
    "number": "1124242862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840795",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840795",
            "telephone_number": "972-899-6650",
            "fax_number": "972-899-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 KUYKENDAHL RD",
            "address_2": "SUITE A",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773792611",
            "telephone_number": "281-803-1000",
            "fax_number": "972-899-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUYKENDAHL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-10-25",
        "status": "A",
        "authorized_official_last_name": "FIELDING",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "972-899-6650"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "TX",
            "license": "160010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JCAHO",
            "identifier": "434148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Choice Emergency Room",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2013; 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.