NPIMap

Organization Active NPI

Spine & Sports Therapy Kingwood, LP

  • Chiropractor
  • Kingwood, TX
National Provider Identifier
1215315270
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12840 Issued in TX
Legal business name
SPINE & SPORTS THERAPY KINGWOOD, LP
Practice address
1801 Kingwood Dr
Suite 180
Kingwood, TX 77339-3060
Phone
(713) 629-9200
Fax
(713) 513-5048
NPI assigned
May 11, 2015
Last updated
May 11, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Dr. Daniel Dewalch, D.C., CCSP, FIAMANPI 1407097173
Title
Owner
Phone
(713) 629-9200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12840 TX Primary

Addresses

Primary practice location

1801 Kingwood Dr
Suite 180
Kingwood, TX 77339-3060

Mailing address

4295 San Felipe St
Suite 230
Houston, TX 77027-2942
Phone (713) 629-9200

National Provider Directory

National Provider Directory

Locations

1801 Kingwood Dr
Ste 180
Kingwood, TX 77339
Phone (713) 629-9200

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1215315270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4295 SAN FELIPE ST",
            "address_2": "SUITE 230",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770272942",
            "telephone_number": "713-629-9200",
            "fax_number": "713-513-5048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 KINGWOOD DR",
            "address_2": "SUITE 180",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393060",
            "telephone_number": "713-629-9200",
            "fax_number": "713-513-5048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORTS THERAPY KINGWOOD, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "DEWALCH",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-629-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., CCSP, FIAMA"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.