Individual provider Active NPI

Richard Kenneth Vanik, M.D.,J.D.

  • Specialist
  • Houston, TX
National Provider Identifier
1861604191
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G7365 Issued in TX
Practice address
7777 Southwest Fwy Ste 500
Houston, TX 77074-1811
Phone
(713) 981-7900
Fax
(713) 774-5119
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G7365 TX Primary

Addresses

Primary practice location

7777 Southwest Fwy Ste 500
Houston, TX 77074-1811

Mailing address

7777 Southwest Fwy Ste 500
Houston, TX 77074-1811
Phone (713) 981-7900

Other identifiers 2

IdentifierTypeStateIssuer
114152502MedicaidTX
161997156OtherTXTAX ID ASSOCIATED NPI NUM

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
Credentials
Juris Doctor, Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1861604191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741811",
            "telephone_number": "713-981-7900",
            "fax_number": "713-774-5119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 SOUTHWEST FWY STE 500",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741811",
            "telephone_number": "713-981-7900",
            "fax_number": "713-774-5119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANIK",
        "first_name": "RICHARD",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "M.D.,J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G7365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114152502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID ASSOCIATED NPI NUM",
            "identifier": "161997156",
            "state": "TX"
        }
    ],
    "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 Apr 23, 2013; 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.