Individual provider Active NPI

Brian Joesph McKenna, LIC.AC.

  • Acupuncturist
  • Houston, TX
National Provider Identifier
1295871325
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC00410 Issued in TX
Practice address
716 Chelsea Blvd
Houston, TX 77006-6206
Phone
(713) 942-9688
Fax
(713) 942-9335
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC00410 TX Primary

Addresses

Primary practice location

716 Chelsea Blvd
Houston, TX 77006-6206

Mailing address

716 Chelsea Blvd
Houston, TX 77006-6206
Phone (713) 942-9688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC00410TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture Medical Acupuncturist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295871325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 CHELSEA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770066206",
            "telephone_number": "713-942-9688",
            "fax_number": "713-942-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 CHELSEA BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770066206",
            "telephone_number": "713-942-9688",
            "fax_number": "713-942-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENNA",
        "first_name": "BRIAN",
        "middle_name": "JOESPH",
        "name_prefix": "Mr.",
        "credential": "LIC.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC00410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.