Active NPI
Malathy Kannan, O.D.
- Optometrist
- Helotes, TX
National Provider Identifier
1316013170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6811TG
- Practice address
- 12550 Leslie Rd
Helotes, TX 78023-4740 - Phone
- (210) 372-9400
- Fax
- (210) 372-9403
- NPI assigned
- Nov 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5687-THER. | OH | |
| Optometrist | 152W00000X | 6811TG | TX | Primary |
Addresses
Primary practice location
12550 Leslie Rd
Helotes, TX 78023-4740
Mailing address
PO Box 1606
Helotes, TX 78023-1606
Phone (210) 372-9400
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5687-THER. | OH | MD | Optometrist |
| 6811TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366156800000",
"number": "1316013170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1606",
"city": "HELOTES",
"state": "TX",
"postal_code": "780231606",
"telephone_number": "210-372-9400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12550 LESLIE RD",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234740",
"telephone_number": "210-372-9400",
"fax_number": "210-372-9403"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANNAN",
"first_name": "MALATHY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2013-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "5687-THER.",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "6811TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helotes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.