Active NPI
Tony Wayne Kelsoe, DC
- Chiropractor
- West Columbia, TX
National Provider Identifier
1710402862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13569
- Practice address
- 626 E Brazos Ave
West Columbia, TX 77486-2946 - Phone
- (979) 345-6325
- Fax
- (979) 848-3306
- NPI assigned
- Aug 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0008261 | CO | |
| Chiropractor | 111N00000X | 13569 | TX | Primary |
Addresses
Primary practice location
626 E Brazos Ave
West Columbia, TX 77486-2946
Mailing address
626 E Brazos Ave
West Columbia, TX 77486-2946
Phone (682) 429-7699
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0008261 | CO | MD | Chiropractor |
| 13569 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krenek Chiropractic | Chiropractor | Current | Accepting new patients |
| Krenek Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
626 E Brazos Ave
West Columbia, TX 77486
Phone (979) 345-6325
Organizations & group practices 3
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.
-
- Chiropractor
- Creede, CO
- NPI 1295246478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1710402862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 E BRAZOS AVE",
"city": "WEST COLUMBIA",
"state": "TX",
"postal_code": "774862946",
"telephone_number": "682-429-7699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 E BRAZOS AVE",
"city": "WEST COLUMBIA",
"state": "TX",
"postal_code": "774862946",
"telephone_number": "979-345-6325",
"fax_number": "979-848-3306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELSOE",
"first_name": "TONY",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-08-10",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0008261",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Columbia, TX
- Heart to Heart Hospice of the Riverbend, LLC (Heart to Heart Hospice of Bryan-College Station)
- Randy De'Shon Hightower
- Angela Elizabeth Hughes, PHARM.D.
- Jared Lyn Huvar, D.D.S.
- Jared Huvar Family and Cosmetic Dentistry
- Laura K. Kincannon, DDS
- Krenek Chiropractic (Palacios Chiropractic)
- Krenek Chiropractic (David Shane Krenek)
- David Shane Krenek, DC
- Laura K. Kincannon, DDS, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.