Active NPI
Kenneth Watson, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1841730538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13445
- Practice address
- 7800 N Mopac Expy Ste 340
Austin, TX 78759-8962 - Phone
- (512) 346-5567
- Fax
- (512) 231-1087
- NPI assigned
- Mar 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 13445 | TX | Primary |
Addresses
Primary practice location
7800 N Mopac Expy Ste 340
Austin, TX 78759-8962
Mailing address
6402 Cottonmouth School Rd
Austin, TX 78744-6115
Phone (254) 913-3206
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 |
|---|---|---|---|
| 13445 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloom Chiropractic, PLLC | Chiropractor | Current | Accepting new patients |
| Estes Chiropractic Clinic PC | Chiropractor | Past | Accepting new patients |
Locations
1907 Cypress Creek Rd
Ste 107
Cedar Park, TX 78613
Phone (512) 215-0844
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.
-
- Chiropractor
- Austin, TX
- NPI 1598170128
-
- Chiropractor
- MC Dade, TX
- NPI 1538160759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1841730538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6402 COTTONMOUTH SCHOOL RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787446115",
"telephone_number": "254-913-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7800 N MOPAC EXPY STE 340",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787598962",
"telephone_number": "512-346-5567",
"fax_number": "512-231-1087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-01",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.