Individual provider Active NPI

Kevin J Larks, D.C.

  • Chiropractor
  • Sugar Land, TX
National Provider Identifier
1396853982
Registry record updated Jun 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 4351 Issued in TX
Practice address
2225 Williams Trace Blvd
Ste 102
Sugar Land, TX 77478-4440
Phone
(281) 494-4444
Fax
(281) 494-2117
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 4351 TX Primary

Addresses

Primary practice location

2225 Williams Trace Blvd
Ste 102
Sugar Land, TX 77478-4440

Mailing address

2225 Williams Trace Blvd
Ste 102
Sugar Land, TX 77478-4440
Phone (281) 494-4444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110624000228 TX Practitioner - Chiropractic 3870771710 Practice locations: Sugar Land, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2225 Williams Trace Blvd
Suite 102
Sugar Land, TX 77478-4440
Phone (281) 494-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04351TXMDCounselor
DC 4351TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Larks Chiropractic Center LLC Chiropractor Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1396853982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 WILLIAMS TRACE BLVD",
            "address_2": "STE 102",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784440",
            "telephone_number": "281-494-4444",
            "fax_number": "281-494-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 WILLIAMS TRACE BLVD",
            "address_2": "STE 102",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784440",
            "telephone_number": "281-494-4444",
            "fax_number": "281-494-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARKS",
        "first_name": "KEVIN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC 4351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.