John W Kristensen, M. D.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

G2414 Issued in TX

Legal business name

JOHN W KRISTENSEN, M. D.

Practice address

165 S 6TH St
Raymondville, TX 78580-3521

Phone

(956) 689-5506

Fax

(956) 689-1988

NPI assigned

Sep 12, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Ramirez

Title

Insurance Clerk

Phone

(956) 689-5506

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1053560235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 S 6TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803521",
            "telephone_number": "956-689-5506",
            "fax_number": "956-689-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 S 6TH ST",
            "city": "RAYMONDVILLE",
            "state": "TX",
            "postal_code": "785803521",
            "telephone_number": "956-689-5506",
            "fax_number": "956-689-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W KRISTENSEN, M. D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "INSURANCE CLERK",
        "authorized_official_telephone_number": "956-689-5506",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": "G2414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "00SH91",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121472802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110005062",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John W Kristensen, M.D.

• Durable Medical Equipment & Medical Supplies in Raymondville, TX
• Providers in Raymondville, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.