KL Modern Spine PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

KL MODERN SPINE PLLC

Practice address

16659 Southwest Fwy
Suite 151
Sugar Land, TX 77479-2375

Phone

(713) 774-6337

Fax

(281) 313-7747

NPI assigned

May 30, 2008

Organization subpart

No

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

Authorized official

Name

Daniel Dominguez

Title

Ceo

Phone

(713) 774-6337

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• KL Modern Spine PLLC

  • Specialist
  • Sugar Land, TX
  • NPI 1952568354
  NPD tax ID

Locations

Practitioners 1

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

• Kenneth Jiann-Hung Lee, MD

  • Orthopaedic Surgery of the Spine Physician
  • Sugar Land, TX
  • NPI 1134127764
  Medicare reassignment NPD

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1982862587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "SUITE 151",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "713-774-6337",
            "fax_number": "281-313-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16659 SOUTHWEST FWY",
            "address_2": "SUITE 151",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774792375",
            "telephone_number": "713-774-6337",
            "fax_number": "281-313-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KL MODERN SPINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-774-6337"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk Reese Lee MD Medicalprofessional Staffing Services
• Hailey Gloria Kirk-Jones
• Keith Wayne Kiser, M.D.
• Margaret Kizer
• KL Modern Spine PLLC
• Jacquelyn Lee Kleihege, PT
• Mervyn J Klein, MD
• Christine Elizabeth Kley, MD
• Kate Kliethermes, D.C.
• Lauren Klosterboer, LPC

• Specialist in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.