Individual provider Active NPI

Kennex Munez, M.D.

  • Family Medicine Physician
  • Grapevine, TX
National Provider Identifier
1700220001
Registry record updated Nov 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q8968 Issued in TX
Practice address
2355 E Grapevine Mills Cir
Grapevine, TX 76051-2047
Phone
(972) 539-6330
Fax
(972) 539-3077
NPI assigned
Apr 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2016023350 MO
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Q8968 TX Primary

Addresses

Primary practice location

2355 E Grapevine Mills Cir
Grapevine, TX 76051-2047

Mailing address

645 E State Highway 121 Ste 600
Coppell, TX 75019-7942
Phone (972) 745-7500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210914003164 TX Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3274829718 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Physicians PLLCGroup PAC ID 7810237740, 240 clinicians

Practice addresses (Care Compare)

1017 W Hebron Pkwy
Carrollton, TX 75010-1113
Phone (972) 939-9495

104 S Main St
Keller, TX 76248-5003
Phone (214) 295-9385

11350 US Hwy 380
Suite 100
Cross Roads, TX 76227-8319
Phone (940) 228-0721

1530 N Hwy 377
Roanoke, TX 76262-9116
Phone (682) 254-9920

2310 W University Dr
Suite 1500
Denton, TX 76201-1650
Phone (940) 220-5901

2404 McKinney Ave
Dallas, TX 75201-1936
Phone (214) 721-0630

2851 W Interstate Hwy 635
Irving, TX 75063-3144
Phone (214) 496-0820

301 Main St
Frisco, TX 75036-4305
Phone (972) 335-0030

3751 S I 35
Denton, TX 76210-6852
Phone (940) 383-2700

377 W Campbell Rd
Suite 100
Richardson, TX 75080-3695
Phone (469) 232-2945

3821 W Spring Creek Pkwy
Plano, TX 75023-3808
Phone (972) 599-0077

7400 N Macarthur Blvd
Irving, TX 75063-7508
Phone (469) 804-9295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Carespot Professional Services LLC Single Specialty CurrentSince Aug 4, 2015 Accepting new patients
Primary Health Physicians, PLLC Single Specialty CurrentSince Sep 1, 2021 Accepting new patients

Locations

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

13551 Madison Ave
Kansas City, MO 64145
Phone (816) 256-3095

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

645 E State Highway 121
Ste 600
Coppell, TX 75019
Phone (972) 906-8107

2310 W University Dr
#1500
Denton, TX 76201
Phone (940) 220-5901

104 S Main St
Keller, TX 76248
Phone (214) 295-9385

377 W Campbell Rd
Ste 100
Richardson, TX 75080
Phone (469) 232-2945

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1700220001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E STATE HIGHWAY 121 STE 600",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197942",
            "telephone_number": "972-745-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 E GRAPEVINE MILLS CIR",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760512047",
            "telephone_number": "972-539-6330",
            "fax_number": "972-539-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNEZ",
        "first_name": "KENNEX",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-17",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2016023350",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q8968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

Verify at the official NPI Registry.