Organization Active NPI

Pryncess Johnson Stephens, DPM

  • Podiatric Clinic/Center
  • Kingwood, TX
National Provider Identifier
1376841080
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
1924 Issued in TX
Legal business name
PRYNCESS JOHNSON STEPHENS, DPM
Practice address
530 Kingwood Dr
Kingwood, TX 77339-4473
Phone
(281) 358-0813
Fax
(866) 862-9655
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Authorized official

Name
Dr. Pryncess Stephens, D.P.M.
Title
Physician
Phone
(832) 644-9412

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X 1924 TX Primary

Addresses

Primary practice location

530 Kingwood Dr
Kingwood, TX 77339-4473

Mailing address

6942 FM 1960 Rd E # 203
Humble, TX 77346-2706
Phone (832) 644-9412

Other identifiers 1

IdentifierTypeStateIssuer
TXB100602OtherTXMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

530 Kingwood Dr
Kingwood, TX 77339
Phone (281) 358-0813

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299110400000",
    "number": "1376841080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6942 FM 1960 RD E # 203",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773462706",
            "telephone_number": "832-644-9412",
            "fax_number": "866-862-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 KINGWOOD DR",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394473",
            "telephone_number": "281-358-0813",
            "fax_number": "866-862-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRYNCESS JOHNSON STEPHENS, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2011-03-03",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "PRYNCESS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "832-644-9412",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "TX",
            "license": "1924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB100602",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.