Organization Active NPI

Validus Health, PA

  • Family Medicine Physician
  • Boerne, TX
National Provider Identifier
1215464417
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4471 Issued in TX
Legal business name
VALIDUS HEALTH, PA
Practice address
725 N Main St Ste 2
Boerne, TX 78006-1623
Phone
(888) 712-1047
NPI assigned
May 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ken Kingdon, MD
Title
Manager
Phone
(619) 300-2289

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X P4471 TX Primary

Addresses

Primary practice location

725 N Main St Ste 2
Boerne, TX 78006-1623

Mailing address

725 N Main St Ste 2
Boerne, TX 78006-1623
Phone (888) 712-1047

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1495065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215464417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N MAIN ST STE 2",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061623",
            "telephone_number": "888-712-1047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N MAIN ST STE 2",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061623",
            "telephone_number": "888-712-1047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIDUS HEALTH, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KINGDON",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-300-2289",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.