Individual provider Active NPI

Eric Karl Tondera, NP-C, DC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1407859101
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
774895 Issued in TX
Practice address
14740 Barryknoll LN Ste 160
Houston, TX 77079-2885
Phone
(713) 988-3223
Fax
(832) 617-7823
NPI assigned
May 27, 2005
Last updated
Jul 24, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 774895 TX
Family Nurse Practitioner 363LF0000X 774895 TX Primary

Addresses

Primary practice location

14740 Barryknoll LN Ste 160
Houston, TX 77079-2885

Mailing address

14740 Barryknoll LN Ste 160
Houston, TX 77079-2885
Phone (713) 988-3223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000551 TX Practitioner - Nurse Practitioner 1254434178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14740 Barryknoll LN
Suite 160
Houston, TX 77079-2885
Phone 7139883223103

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
774895TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Gulf Coast PLLC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBBDCA/Endpoint/DBBDCA

Organizations & group practices 2

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1407859101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 BARRYKNOLL LN STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792885",
            "telephone_number": "713-988-3223",
            "fax_number": "832-617-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 BARRYKNOLL LN STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792885",
            "telephone_number": "713-988-3223",
            "fax_number": "832-617-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONDERA",
        "first_name": "ERIC",
        "middle_name": "KARL",
        "credential": "NP-C, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "774895",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "774895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.