Individual provider Active NPI

Kevin Caizley, D.C.

  • Rehabilitation Chiropractor
  • Kingwood, TX
National Provider Identifier
1841567138
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
9000 Issued in TX
Practice address
22751 Professional Dr
Suite 260
Kingwood, TX 77339-6021
Phone
(281) 319-8364
Fax
(281) 319-8387
NPI assigned
Nov 30, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 9000 TX Primary

Addresses

Primary practice location

22751 Professional Dr
Suite 260
Kingwood, TX 77339-6021

Mailing address

22751 Professional Dr
Suite 1000
Kingwood, TX 77339-6021
Phone (281) 319-8364

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

LicenseStateTypeSpecialty
9000TXMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Vytalus Medical Group, PLLC PastSince Aug 1, 2010 Accepting new patients

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327536000000",
    "number": "1841567138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR",
            "address_2": "SUITE 1000",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396021",
            "telephone_number": "281-319-8364",
            "fax_number": "281-319-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22751 PROFESSIONAL DR",
            "address_2": "SUITE 260",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396021",
            "telephone_number": "281-319-8364",
            "fax_number": "281-319-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIZLEY",
        "first_name": "KEVIN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2012-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "9000",
            "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 Jan 26, 2012; 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.