Organization Active NPI

Katy Wellness Center LLC

  • Chiropractor
  • Katy, TX
National Provider Identifier
1689112740
Registry record updated Feb 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12684 Issued in TX
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

Updated by the provider on Feb 8, 2017

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.