KT Health Management Service LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

KT HEALTH MANAGEMENT SERVICE LLC

Practice address

4501 McCullough Ave Ste 107
San Antonio, TX 78212-1659

Phone

(210) 828-9211

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Keith Allen Taylor Jr., DCNPI 1114027729

Title

Owner

Phone

(210) 828-9211

Specialties & licenses 1

Addresses

Other names 2

• Alamo Heights Chiropractic Health Center Doing business as
• Alamo Heights Chriropractic Health Care Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keith Allen Taylor Jr., D.C.

  • Chiropractor
  • San Antonio, TX
  • NPI 1114027729
  Medicare reassignment NPD Authorized official
• Sandra Carrell Tremblay, D.C.

  • Chiropractor
  • San Antonio, TX
  • NPI 1346348620
  NPD
• Donna Bourgeois Diaz, D.C.

  • Chiropractor
  • Newport Beach, CA
  • NPI 1851838114
  NPD
• Andy Pichardo, DC

  • Chiropractor
  • San Antonio, TX
  • NPI 1346983871
  NPD (past)

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1972204915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MCCULLOUGH AVE STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121659",
            "telephone_number": "210-828-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MCCULLOUGH AVE STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782121659",
            "telephone_number": "210-828-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KT HEALTH MANAGEMENT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-828-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alamo Heights Chiropractic Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alamo Heights Chriropractic Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alamo Heights Chriropractic Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christina Aileen Kruse, PHARMD
• Jerry Elliott Kruse, MD
• Alexander Andrew Kryszuk, M.D.
• Krz4Bama LLC
• Jake Thomas Robert Krzywonski
• KTS Partners, Inc.
• Barbara L. Ku, MD
• Howlin Berry Ku
• Lawrence Ching-Chao Ku, RPH
• Michelle Ku

• Chiropractor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.