Organization Active NPI

KL Modern Spine PLLC

  • Specialist
  • Sugar Land, TX
National Provider Identifier
1952568354
Registry record updated Oct 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KL MODERN SPINE PLLC
Practice address
16659 Southwest Fwy
Suite 561
Sugar Land, TX 77479-2375
Phone
(713) 774-6337
Fax
(713) 634-2697
NPI assigned
May 22, 2008
Last updated
Oct 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2008

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

Authorized official

Name
Kenneth LeeNPI 1134127764
Title
Credentialing Coordinator
Phone
(281) 802-1441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

16659 Southwest Fwy
Suite 561
Sugar Land, TX 77479-2375

Mailing address

16659 Southwest Fwy
Suite 561
Sugar Land, TX 77479-2375
Phone (713) 774-6337

National Provider Directory

National Provider Directory
Tax ID family
KL Modern Spine PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224374400000",
    "number": "1952568354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "SUITE 561",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "713-774-6337",
            "fax_number": "713-634-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "SUITE 561",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "713-774-6337",
            "fax_number": "713-634-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KL MODERN SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-10-19",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "281-802-1441"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2008; 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.