Active NPI
William J Kowalski, DC FACO
- Orthopedic Chiropractor
- Houston, TX
National Provider Identifier
1457403172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 2889
- Practice address
- 12655 Woodforest Blvd
#200
Houston, TX 77015 - Phone
- (713) 451-1400
- Fax
- (713) 451-1411
- NPI assigned
- Jan 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 2889 | TX | Primary |
Addresses
Primary practice location
12655 Woodforest Blvd
#200
Houston, TX 77015
Mailing address
12655 Woodforest Blvd
#200
Houston, TX 77015
Phone (713) 451-1400
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046155001 | Medicaid | TX | |
| DE6464 | Other | MEDICARE GROUP | |
| 4361054 | Other | AETNA INS | |
| NA | Other | OWCP | |
| 87W330 8K0780 | Other | BC BS | |
| P00306296 | Other | RAILROAD | |
| 431092 | Other | TX | UNITED HC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2889 | TX | MD | Behavioral Analyst |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Federal Road Rehab & Diagnostic Inc | Orthopedic | 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": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375660800000",
"number": "1457403172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12655 WOODFOREST BLVD",
"address_2": "#200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77015",
"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",
"address_2": "#200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77015",
"telephone_number": "713-451-1400",
"fax_number": "713-451-1411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOWALSKI",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "DC FACO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-16",
"last_updated": "2013-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "TX",
"license": "2889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046155001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "DE6464",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INS",
"identifier": "4361054",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "NA",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "87W330 8K0780",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00306296",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HC",
"identifier": "431092",
"state": "TX"
}
],
"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 Aug 5, 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.