Organization Active NPI

Kendra L. Thorn, M.D., P.a.

  • Obstetrics & Gynecology Physician
  • New Braunfels, TX
National Provider Identifier
1316959539
Registry record updated Jun 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L7221 Issued in TX
Legal business name
KENDRA L. THORN, M.D., P.A.
Practice address
598 N Union Ave
Suite 320
New Braunfels, TX 78130-4136
Phone
(830) 632-6857
Fax
(830) 632-9122
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2009

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

Authorized official

Name
Dr. Kendra Lynn Thorn, M.D.
Title
Physician
Phone
(830) 632-6857

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X L7221 TX Primary

Addresses

Primary practice location

598 N Union Ave
Suite 320
New Braunfels, TX 78130-4136

Mailing address

598 N Union Ave
Suite 320
New Braunfels, TX 78130-4136
Phone (830) 632-6857

Other identifiers 3

IdentifierTypeStateIssuer
0097PWOtherTXBCBS
168441701MedicaidTX
1039925OtherTXBPIN

National Provider Directory

National Provider Directory

Locations

2929 Calder St
Ste 205
Beaumont, TX 77702
Phone (409) 835-9998

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245456000000",
    "number": "1316959539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 N UNION AVE",
            "address_2": "SUITE 320",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304136",
            "telephone_number": "830-632-6857",
            "fax_number": "830-632-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 N UNION AVE",
            "address_2": "SUITE 320",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781304136",
            "telephone_number": "830-632-6857",
            "fax_number": "830-632-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENDRA L. THORN, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-06-20",
        "status": "A",
        "authorized_official_last_name": "THORN",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "830-632-6857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L7221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0097PW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "168441701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BPIN",
            "identifier": "1039925",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2009; 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.