Active NPI
Ronald Edward Kohlstrand Jr., D.C.
- Chiropractor
- Garland, TX
National Provider Identifier
1003057977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4253
- Practice address
- 3250 W Walnut St
Garland, TX 75042-6307 - Phone
- (214) 227-4401
- Fax
- (214) 227-5104
- NPI assigned
- Mar 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4253 | TX | Primary |
Addresses
Primary practice location
3250 W Walnut St
Garland, TX 75042-6307
Mailing address
2802 Lakeside LN
Carrollton, TX 75006-4725
Phone (214) 306-3884
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4253 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garland Rehab Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Garland, TX
- NPI 1336377308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237766400000",
"number": "1003057977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2802 LAKESIDE LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750064725",
"telephone_number": "214-306-3884",
"fax_number": "972-418-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3250 W WALNUT ST",
"city": "GARLAND",
"state": "TX",
"postal_code": "750426307",
"telephone_number": "214-227-4401",
"fax_number": "214-227-5104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHLSTRAND",
"first_name": "RONALD",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-23",
"last_updated": "2009-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "4253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.