Organization Active NPI

Eric K Tondera DC PC

  • Primary Care Nurse Practitioner
  • Houston, TX
National Provider Identifier
1497834618
Registry record updated Jul 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
ERIC K TONDERA DC PC
Practice address
14740 Barryknoll LN Ste 160
Houston, TX 77079-2885
Phone
(713) 988-2233
Fax
(832) 617-7823
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2019

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

Authorized official

Name
Dr. Eric K Tondera, DCNPI 1407859101
Title
President
Phone
(713) 988-3223

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
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

14740 Barryknoll LN Ste 160
Houston, TX 77079-2885

Mailing address

14740 Barryknoll LN Ste 160
Houston, TX 77079-2885
Phone (713) 988-2233

Other names 1

  • Tondera Family Practice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070621000594 TX Part B Supplier - Clinic/Group Practice 3375642937 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2113053Eric K Tondera NP DC14740 Barryknoll Lane, Suite 160, Houston, TX 77079Certificate of waiverMay 15, 2028

National Provider Directory

National Provider Directory

Locations

2600 S Gessner Rd
Ste 300
Houston, TX 77063
Phone (713) 988-3223

Practitioners & affiliated clinicians

Practitioners 1

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": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1497834618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14740 BARRYKNOLL LN STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792885",
            "telephone_number": "713-988-2233",
            "fax_number": "832-617-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14740 BARRYKNOLL LN STE 160",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792885",
            "telephone_number": "713-988-2233",
            "fax_number": "832-617-7823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC K TONDERA DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "TONDERA",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-988-3223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tondera Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.