Kenneth Tate, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

13258 Issued in TX

Practice address

1926 Avenue D
Katy, TX 77493-1659

Phone

(713) 203-9797

Fax

(281) 574-5624

NPI assigned

Nov 10, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• The Source Chiropractic

  • Chiropractor
  • Katy, TX
  • NPI 1912512872
  NPD Authorized official
• Stafford Chiropractic Sport and Wellness Inc.

  • Chiropractor
  • Stafford, TX
  • NPI 1053635854
  NPD (past)
• Stafford Chiropractic Sports & Wellness

  • Chiropractor
  • Stafford, TX
  • NPI 1265856942
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1922540798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 THREADNEEDLE ST APT 278",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770792863",
            "telephone_number": "713-203-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 AVENUE D",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774931659",
            "telephone_number": "713-203-9797",
            "fax_number": "281-574-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "KENNETH",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-10",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Katy, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.