Individual provider Active NPI

Dennis John Kord, PH.D.

  • Psychologist
  • Laredo, TX
National Provider Identifier
1306339858
Registry record updated Jun 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4430-PY-PR Issued in MA
Practice address
220 N Zapata Hwy # 11-257a
Laredo, TX 78043-4427
Phone
(917) 364-6293
NPI assigned
Jun 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4430-PY-PR MA Primary

Addresses

Primary practice location

220 N Zapata Hwy # 11-257a
Laredo, TX 78043-4427

Mailing address

220 N Zapata Hwy # 11-257a
Laredo, TX 78043-4427
Phone (917) 364-6293

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4430-PY-PRMAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1528588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528588800000",
    "number": "1306339858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 N ZAPATA HWY # 11-257A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434427",
            "telephone_number": "917-364-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 N ZAPATA HWY # 11-257A",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780434427",
            "telephone_number": "917-364-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORD",
        "first_name": "DENNIS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-10",
        "last_updated": "2018-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MA",
            "license": "4430-PY-PR",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2018; 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.