KINGWOOD HEALTH AND WELLNESS
NPI 1366891749
Clinic/Center - Medical Specialty in Kingwood, TX
NPI Status: Active since June 07, 2016
Contact Information
1543 GREEN OAK PL
KINGWOOD, TX
ZIP 77339
Phone: (281) 852-1800
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 45D2130119
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-01-2026
About KINGWOOD HEALTH AND WELLNESS
This page provides the complete NPI Profile along with additional information for Kingwood Health And Wellness, a provider established in Kingwood, Texas operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1366891749 assigned on June 2016. The practitioner's primary taxonomy code is 261QM2500X with license number AP128724 (TX). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Jason Demattia M.d. (Medical Supervisor)
- NPI
- 1366891749
- Provider Name
- KINGWOOD HEALTH AND WELLNESS
- Entity Type
- Organization
- Location Address
- 1543 GREEN OAK PL KINGWOOD, TX 77339
- Location Phone
- (281) 852-1800
- Mailing Address
- 1543 GREEN OAK PL KINGWOOD, TX 77339
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-07-2016
- Last Update Date
- 06-07-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- AP128724
- License State
- TX
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 45D2130119
- Facility Type
- Physician Office
- Certificate Effective Date
- December 02, 2024
- Certificate Expiration Date
- December 01, 2026
- Laboratory Director
- ANGELA LINDER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Kingwood Health And Wellness to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1366891749, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 71 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366891749, enumerated as an "organization" on June 07, 2016.
The provider is located at 1543 GREEN OAK PL KINGWOOD, TX 77339 and the phone number is (281) 852-1800.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
