Organization Active NPI

Healthsource of Kingwood

  • Chiropractor
  • Kingwood, TX
National Provider Identifier
1487973301
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
10605 Issued in TX
Legal business name
HEALTHSOURCE OF KINGWOOD
Practice address
2316 Timber Shadows Dr
#1025
Kingwood, TX 77339-2026
Phone
(281) 358-8585
Fax
(281) 358-1982
NPI assigned
May 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Authorized official

Name
Sammy Tao, D.C.
Title
President/Director
Phone
(281) 858-4446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 10605 TX Primary

Addresses

Primary practice location

2316 Timber Shadows Dr
#1025
Kingwood, TX 77339-2026

Mailing address

15498 FM 529
Houston, TX 77095
Phone (281) 858-4446

National Provider Directory

National Provider Directory

Locations

1202 Kingwood Dr
Ste D
Kingwood, TX 77339
Phone (281) 358-8585

2316 Timber Shadows Dr
#1025
Kingwood, TX 77339
Phone (281) 358-8585

2316 Timber Shadows Dr
Ste 1025
Kingwood, TX 77339
Phone (281) 358-8585

Practitioners & affiliated clinicians

Practitioners 2

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": "1274140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274140800000",
    "number": "1487973301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15498 FM 529",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77095",
            "telephone_number": "281-858-4446",
            "fax_number": "281-858-4459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 TIMBER SHADOWS DR",
            "address_2": "#1025",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392026",
            "telephone_number": "281-358-8585",
            "fax_number": "281-358-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE OF KINGWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-18",
        "last_updated": "2010-05-18",
        "status": "A",
        "authorized_official_last_name": "TAO",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "281-858-4446",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 18, 2010; 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.