Kevin Landry, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5976 Issued in TX

Practice address

548 El Dorado Blvd
Webster, TX 77598-2202

Phone

(281) 488-3222

Fax

(281) 389-5831

NPI assigned

Jul 22, 2013

Last updated

Jul 22, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• K-Bear, Inc.

  dba Koala Health & Wellness Centers, Inc.

  • Chiropractor
  • Webster, TX
  • NPI 1700900974
  NPD (past)

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1619319480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "548 EL DORADO BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982202",
            "telephone_number": "281-488-3222",
            "fax_number": "281-389-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 EL DORADO BLVD",
            "city": "WEBSTER",
            "state": "TX",
            "postal_code": "775982202",
            "telephone_number": "281-488-3222",
            "fax_number": "281-389-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDRY",
        "first_name": "KEVIN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-22",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P088494J4",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenny Chuong Lam, MD
• Corrie Christine Lambert, PT
• Gene E Lamonica, MD
• Sarah Jennifer Lamoureux, AUD, CCC/A
• Jennifer Rosales Landicho, AGACNP-BC
• Cynthia Elaine Larson, D.O.
• Alexandria Larssen, RBT
• Lauren Hinojosa MD PA
• Christy Lawler
• Ammy Evelyn Lazo, PTA

• Chiropractor in Webster, TX
• Providers in Webster, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.