Active NPI
Fecf, LLC
- Chiropractor
- Houston, TX
National Provider Identifier
1174049159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12705
- Legal business name
- FECF, LLC
- Practice address
- 15502 Galveston Road
#207
Houston, TX 77598-7759 - Phone
- (281) 607-3043
- NPI assigned
- Aug 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Katherine Van Wagenen, DC
- Title
- Chiropractor
- Phone
- (518) 542-9371
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12705 | TX | Primary |
Addresses
Primary practice location
15502 Galveston Road
#207
Houston, TX 77598-7759
Mailing address
100 W Texas Ave
416
Webster, TX 77598-3280
Phone (518) 542-9371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780092338 | Medicaid | TX |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503273600000",
"number": "1174049159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W TEXAS AVE",
"address_2": "416",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775983280",
"telephone_number": "518-542-9371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15502 GALVESTON ROAD",
"address_2": "#207",
"city": "HOUSTON",
"state": "TX",
"postal_code": "775987759",
"telephone_number": "281-607-3043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FECF, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-21",
"last_updated": "2017-08-21",
"status": "A",
"authorized_official_last_name": "VAN WAGENEN",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "518-542-9371",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "12705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1780092338",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Featherland Hospice, Inc. (Harmony Healthcare Services)
- Savannah Febak
- Adriana Febre Reygada
- Febres Dentistry for Children
- Maria Carolina Febres, DDS
- Federal Detention Center Houston (FDC houston)
- Federal Emergency Response Management Inc
- Federal Road Rehab & Diagnostic Inc (Northshore Aquatherapy)
- Federal Work Ready Inc.
- Federal Work Ready Inc. North
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.