Individual provider Active NPI

Kehinde Richard Amoda

  • Non-emergency Medical Transport (VAN)
  • Houston, TX
National Provider Identifier
1982396685
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
45389328 Issued in TX
Practice address
4606 FM 1960 Rd W Ste 560
Houston, TX 77069-4617
Phone
(832) 995-8532
NPI assigned
May 22, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 45389328 TX Primary

Addresses

Primary practice location

4606 FM 1960 Rd W Ste 560
Houston, TX 77069-4617

Mailing address

4606 FM 1960 Rd W Ste 560
Houston, TX 77069-4617
Phone (832) 995-8532

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
45389328TXMDNon-emergency Medical Transport (VAN)

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1982396685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 FM 1960 RD W STE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694617",
            "telephone_number": "832-995-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4606 FM 1960 RD W STE 560",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770694617",
            "telephone_number": "832-995-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMODA",
        "first_name": "KEHINDE",
        "middle_name": "RICHARD",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": "45389328",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 2, 2023; 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.