Organization Active NPI

Keng Chiropractic, P.C.

  • Chiropractor
  • Deer Park, TX
National Provider Identifier
1528142619
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6566 Issued in TX
Legal business name
KENG CHIROPRACTIC, P.C.
Practice address
4418 Center St Ste B
Deer Park, TX 77536-6281
Phone
(281) 542-0300
Fax
(281) 542-0464
NPI assigned
Oct 25, 2006
Last updated
Jul 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Dr. Angel L. Keng, D.C.
Title
Owner
Phone
(281) 542-0300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC6566 TX Primary

Addresses

Primary practice location

4418 Center St Ste B
Deer Park, TX 77536-6281

Mailing address

4418 Center St Ste B
Deer Park, TX 77536-6281
Phone (281) 542-0300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090708000505 TX Part B Supplier - Clinic/Group Practice 5092867887 Receives reassigned benefits from 1 practitioner
Practice locations: Deer Park, TX

National Provider Directory

National Provider Directory

Locations

4418 Center St
Ste B
Deer Park, TX 77536
Phone (281) 542-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1528142619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 CENTER ST STE B",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775366281",
            "telephone_number": "281-542-0300",
            "fax_number": "281-542-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4418 CENTER ST STE B",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775366281",
            "telephone_number": "281-542-0300",
            "fax_number": "281-542-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENG CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "KENG",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-542-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.