NPIMap

Organization Active NPI

Greens Bayou Chiropractic Clinic PC

  • Orthopedic Chiropractor
  • Houston, TX
National Provider Identifier
1417166992
Registry record updated Oct 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
2889 Issued in TX
Legal business name
GREENS BAYOU CHIROPRACTIC CLINIC PC
Practice address
12655 Woodforest Blvd Ste 200
Houston, TX 77015-3574
Phone
(713) 451-1400
Fax
(713) 451-1411
NPI assigned
May 22, 2007
Last updated
Oct 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2013

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

Authorized official

Name
Dr. William J Kowalski, DCNPI 1457403172
Title
Owner
Phone
(713) 451-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 2889 TX Primary

Addresses

Primary practice location

12655 Woodforest Blvd Ste 200
Houston, TX 77015-3574

Mailing address

12655 Woodforest Blvd Ste 200
Houston, TX 77015-3574
Phone (713) 451-1400

National Provider Directory

National Provider Directory

Locations

12655 Woodforest Blvd
Ste 200
Houston, TX 77015
Phone (713) 451-1400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1417166992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12655 WOODFOREST BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153574",
            "telephone_number": "713-451-1400",
            "fax_number": "713-451-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12655 WOODFOREST BLVD STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770153574",
            "telephone_number": "713-451-1400",
            "fax_number": "713-451-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENS BAYOU CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-451-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "TX",
            "license": "2889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.