Individual provider Active NPI

Kenneth Watson, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1841730538
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13445 Issued in TX
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

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
13445TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bloom Chiropractic, PLLC Chiropractor CurrentSince Jul 27, 2018 Accepting new patients
Estes Chiropractic Clinic PC Chiropractor PastSince Mar 2, 2017 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.

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.

Verify at the official NPI Registry.