Active NPI
Kirra Guidry Randolph, D.C.
- Chiropractor
- Pearland, TX
National Provider Identifier
1619245156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11944
- Practice address
- 4229 Wells Dr
Pearland, TX 77584-8808 - Phone
- (832) 304-4325
- Fax
- (281) 489-3233
- NPI assigned
- Dec 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 11944 | TX | Primary |
Addresses
Primary practice location
4229 Wells Dr
Pearland, TX 77584-8808
Mailing address
4229 Wells Dr
Pearland, TX 77584-8808
Phone (832) 304-4325
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11944 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323648000000",
"number": "1619245156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4229 WELLS DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848808",
"telephone_number": "832-304-4325",
"fax_number": "281-489-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4229 WELLS DR",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848808",
"telephone_number": "832-304-4325",
"fax_number": "281-489-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "KIRRA",
"middle_name": "GUIDRY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-12",
"last_updated": "2011-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.