Individual provider Active NPI

Brian C Dannenfelser, DC

  • Chiropractor
  • Kingwood, TX
National Provider Identifier
1770615593
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC6950 Issued in TX
Practice address
2316 Timber Shadows
Suite 101
Kingwood, TX 77339
Phone
(281) 359-1031
Fax
(281) 359-1029
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC6950 TX Primary

Addresses

Primary practice location

2316 Timber Shadows
Suite 101
Kingwood, TX 77339

Mailing address

2316 Timber Shadows Dr
Suite 101
Kingwood, TX 77339-2025
Phone (281) 359-1031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111005000803 TX Practitioner - Chiropractic 8527230051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dannenfelser Chiropractic IncGroup PAC ID 6002032778, 2 clinicians

Practice addresses (Care Compare)

2316 Timber Shadows Dr
Suite 101
Kingwood, TX 77339-2025

2316 Timber Shadows Dr
Suite 101
Kingwood, TX 77339-2026
Phone (281) 359-1031

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC6950TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dannenfelser Chiropractic, Inc Chiropractor CurrentSince May 3, 2014 Accepting new patients

Locations

2316 Timber Shadows Dr
Ste 101
Kingwood, TX 77339
Phone (281) 359-1031

Organizations & group practices 1

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387238400000",
    "number": "1770615593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 TIMBER SHADOWS DR",
            "address_2": "SUITE 101",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392025",
            "telephone_number": "281-359-1031",
            "fax_number": "281-359-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 TIMBER SHADOWS",
            "address_2": "SUITE 101",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-359-1031",
            "fax_number": "281-359-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNENFELSER",
        "first_name": "BRIAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC6950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.