Organization Active NPI

Kreg Therapeutics, Inc.

  • Customized Equipment (DME)
  • Saint Louis, MO
National Provider Identifier
1013102334
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
KREG THERAPEUTICS, INC.
Practice address
11040 Lin Valle Dr
Suite E
Saint Louis, MO 63123-7210
Phone
(312) 829-8909
Fax
(312) 829-8909
NPI assigned
Sep 10, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Maria I Mayorga
Title
Medicare Biller
Phone
(312) 829-8909

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

National Provider Directory
Tax ID family
Kreg Therapeutics Inc (6 organizations share this tax ID)

Locations

11040 Lin Valle Dr
Ste E
Saint Louis, MO 63123
Phone (312) 829-8909

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

NPPES NPI Registry

Primary practice location

11040 Lin Valle Dr
Suite E
Saint Louis, MO 63123-7210

Mailing address

2240 W Walnut St
Chicago, IL 60612-2218
Phone (312) 829-8904

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 10, 2007.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1013102334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 W WALNUT ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606122218",
            "telephone_number": "312-829-8904",
            "fax_number": "312-829-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 LIN VALLE DR",
            "address_2": "SUITE E",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237210",
            "telephone_number": "312-829-8909",
            "fax_number": "312-829-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREG THERAPEUTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICARE BILLER",
        "authorized_official_telephone_number": "312-829-8909"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.