Active NPI
Lane K Kimbrough, LO
- Orthotic Fitter
- Houston, TX
National Provider Identifier
1780836171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- License
- 433
- Practice address
- 2525 W. Bellfort
Suite 150
Houston, TX 77054 - Phone
- (713) 349-9335
- Fax
- (713) 349-8433
- NPI assigned
- Oct 16, 2008
- Last updated
- Oct 16, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | 433 | TX | Primary |
Addresses
Primary practice location
2525 W. Bellfort
Suite 150
Houston, TX 77054
Mailing address
7401 S. Main
Houston, TX 77030
Phone (713) 799-2300
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 433 | TX | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224115200000",
"number": "1780836171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7401 S. MAIN",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77030",
"telephone_number": "713-799-2300",
"fax_number": "713-794-3395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 W. BELLFORT",
"address_2": "SUITE 150",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77054",
"telephone_number": "713-349-9335",
"fax_number": "713-349-8433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBROUGH",
"first_name": "LANE",
"middle_name": "K",
"credential": "LO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-16",
"last_updated": "2008-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "TX",
"license": "433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.