Individual provider Active NPI

Kenneth Dominguez, DC

  • Chiropractor
  • Livingston, TX
National Provider Identifier
1194365346
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14313 Issued in TX
Practice address
400 Bypass LN Ste 103
Livingston, TX 77351-7380
Phone
(936) 327-3140
Fax
(936) 327-3282
NPI assigned
Jan 15, 2020
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14313 TX Primary

Addresses

Primary practice location

400 Bypass LN Ste 103
Livingston, TX 77351-7380

Mailing address

400 Bypass LN Ste 103
Livingston, TX 77351-7380
Phone (936) 327-3140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211102001466 TX Practitioner - Chiropractic 1355739889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jay a Workman Chiropractic Associates PCGroup PAC ID 5395744585, 2 clinicians

Practice addresses (Care Compare)

400 Bypass LN
Suite 103
Livingston, TX 77351-7380
Phone (936) 327-3140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14313TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Jay a Workman Chiropractic Associates PC Chiropractor CurrentSince Jul 1, 2023 Accepting new patients
100 Chiro Livingood Woodlands PLLC Chiropractor CurrentSince Apr 18, 2022 Accepting new patients

Locations

3007 Woodland Hills Dr
Kingwood, TX 77339

400 Bypass Ln
Ste 103
Livingston, TX 77352
Phone (936) 327-3140

4747 Research Forest Dr
Ste 100
The Woodlands, TX 77381
Phone (346) 831-0670

4747 Research Forest Dr
Ste 195
The Woodlands, TX 77381
Phone (346) 831-0670

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1194365346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BYPASS LN STE 103",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773517380",
            "telephone_number": "936-327-3140",
            "fax_number": "936-327-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BYPASS LN STE 103",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "773517380",
            "telephone_number": "936-327-3140",
            "fax_number": "936-327-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "KENNETH",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-15",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.