Organization Active NPI

M & B Chiropractic, P.a.

Doing business as Kingwood Chiropractic Associates

  • Chiropractor
  • Kingwood, TX
National Provider Identifier
1467673830
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
M & B CHIROPRACTIC, P.A.
Doing business as
Kingwood Chiropractic Associates
Practice address
1110 Kingwood Dr
Suite 201
Kingwood, TX 77339-3001
Phone
(281) 359-6932
Fax
(281) 359-2647
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Dr. Kyle Wilken Buchan, D.C.NPI 1083720288
Title
Co-Owner
Phone
(281) 359-6932

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1110 Kingwood Dr
Suite 201
Kingwood, TX 77339-3001

Mailing address

1110 Kingwood Dr
Suite 201
Kingwood, TX 77339-3001
Phone (281) 359-6932

Other identifiers 1

IdentifierTypeStateIssuer
00000095LMOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • Kingwood Chiropractic Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040803001296 TX Part B Supplier - Clinic/Group Practice 0244201200 Receives reassigned benefits from 2 practitioners
Practice locations: Kingwood, TX

National Provider Directory

National Provider Directory

Locations

1110 Kingwood Dr
Ste 201
Kingwood, TX 77339
Phone (281) 359-6932

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1467673830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR",
            "address_2": "SUITE 201",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393001",
            "telephone_number": "281-359-6932",
            "fax_number": "281-359-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 KINGWOOD DR",
            "address_2": "SUITE 201",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393001",
            "telephone_number": "281-359-6932",
            "fax_number": "281-359-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & B CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "BUCHAN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WILKEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "281-359-6932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00000095LM",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kingwood Chiropractic Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kingwood Chiropractic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.