Active NPI
Kenneth Piercy
- Massage Therapist
- Dallas, TX
National Provider Identifier
1316660160
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 012672
- Practice address
- 13610 Midway Rd Ste 248
Dallas, TX 75244-4330 - Phone
- (214) 906-2626
- NPI assigned
- Sep 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 012672 | TX | Primary |
Addresses
Primary practice location
13610 Midway Rd Ste 248
Dallas, TX 75244-4330
Mailing address
13610 Midway Rd Ste 248
Dallas, TX 75244-4330
Phone (214) 906-2626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2149062626 | Other | TX | PHONE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ken@kenpiercy.com | Direct | |
| Other URL | 2149062626 | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 012672 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1316660160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13610 MIDWAY RD STE 248",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444330",
"telephone_number": "214-906-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13610 MIDWAY RD STE 248",
"city": "DALLAS",
"state": "TX",
"postal_code": "752444330",
"telephone_number": "214-906-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERCY",
"first_name": "KENNETH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "TX",
"license": "012672",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHONE",
"identifier": "2149062626",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ken@kenpiercy.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13610 Midway Rd Ste 248",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752444330",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "2149062626",
"affiliation": "N",
"endpointDescription": "Direct messaging",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "13610 Midway Rd Ste 248",
"city": "Dallas",
"state": "TX",
"country_code": "US",
"postal_code": "752444330",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.