Bladimir Antonio Penado, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14684 Issued in TX

Practice address

3111 Fry Rd Ste 170
Katy, TX 77449-6742

Phone

(281) 829-3577

NPI assigned

Dec 3, 2021

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Champions Choice Pain & Injury Clinics

  • Chiropractor
  • Katy, TX
  • NPI 1083367460
  NPD
• Health Guides Inc

  dba Champions Choice Pain & Injury Clinics

  • Internist Chiropractor
  • Katy, TX
  • NPI 1396982823
  NPD

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

{
    "created_epoch": "1638489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1295493526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7426 TONSLEY SPRINGS DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774332131",
            "telephone_number": "516-574-1779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 FRY RD STE 170",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496742",
            "telephone_number": "281-829-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENADO",
        "first_name": "BLADIMIR",
        "middle_name": "ANTONIO",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-03",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olga Alicia Pena Iralda, NP
• Bryan Pena, RBT, CPR
• Georgina Pena
• Lucy J Pena
• Maiya Pena
• Otto Penalver Pacheco, APRN CNP
• Sarah Elizabeth Pencak, BCBA
• Joshua Jia Peng, DDS
• Kimberly R. Pengra, PA
• Bertha Doris Peoples

• Chiropractor in Katy, TX
• Providers in Katy, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.