Kevin Bryan Amen, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4060 Issued in TX

Practice address

160 Creekside Park Rd.
Ste. 100
Spring Branch, TX 78070-6150

Phone

(830) 980-8200

Fax

(830) 438-8204

NPI assigned

Apr 14, 2021

Last updated

Jun 2, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1447831276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CREEKSIDE PARK RD.",
            "address_2": "STE. 100",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706150",
            "telephone_number": "830-980-8200",
            "fax_number": "830-438-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CREEKSIDE PARK RD.",
            "address_2": "STE. 100",
            "city": "SPRING BRANCH",
            "state": "TX",
            "postal_code": "780706150",
            "telephone_number": "830-980-8200",
            "fax_number": "830-438-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMEN",
        "first_name": "KEVIN",
        "middle_name": "BRYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4060",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "TX",
            "license": "4060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Spring Branch, TX
• Providers in Spring Branch, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.