Active NPI
Katy Wellness Center LLC
- Chiropractor
- Katy, TX
National Provider Identifier
1689112740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 12684
- Legal business name
- KATY WELLNESS CENTER LLC
- Practice address
- 24530 Kingsland Blvd Ste B
Katy, TX 77494-3429 - Phone
- (832) 835-1171
- Fax
- (832) 415-0457
- NPI assigned
- Feb 8, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darren Wayne Konesheck, D.C.
- Title
- Chiropractor/Owner
- Phone
- (832) 835-1171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 12684 | TX | Primary |
Addresses
Primary practice location
24530 Kingsland Blvd Ste B
Katy, TX 77494-3429
Mailing address
1817 Pine Needle Dr
Katy, TX 77493-1665
Phone (832) 835-1171
Other names 1
- Katy Wellness Center LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486512000000",
"number": "1689112740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 PINE NEEDLE DR",
"city": "KATY",
"state": "TX",
"postal_code": "774931665",
"telephone_number": "832-835-1171",
"fax_number": "832-415-0457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24530 KINGSLAND BLVD STE B",
"city": "KATY",
"state": "TX",
"postal_code": "774943429",
"telephone_number": "832-835-1171",
"fax_number": "832-415-0457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATY WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-08",
"last_updated": "2017-02-08",
"status": "A",
"authorized_official_last_name": "KONESHECK",
"authorized_official_first_name": "DARREN",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "832-835-1171",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "TX",
"license": "12684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Katy Wellness Center LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.