Individual provider Active NPI

Craig Eric Cernosek, D.C.

  • Chiropractor
  • Waco, TX
National Provider Identifier
1194738252
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC7394 Issued in TX
Practice address
1411 N Valley Mills Dr
Suite H
Waco, TX 76710-4460
Phone
(254) 772-6579
Fax
(254) 772-6584
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC7394 TX Primary

Addresses

Primary practice location

1411 N Valley Mills Dr
Suite H
Waco, TX 76710-4460

Mailing address

1411 N Valley Mills Dr
Suite H
Waco, TX 76710-4460
Phone (254) 772-6579

Other identifiers 1

IdentifierTypeStateIssuer
DC7394OtherTXLICENSE NUMBER

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

LicenseStateTypeSpecialty
DC7394TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cernosek Chiropractic. P.C. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194738252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N VALLEY MILLS DR",
            "address_2": "SUITE H",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104460",
            "telephone_number": "254-772-6579",
            "fax_number": "254-772-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N VALLEY MILLS DR",
            "address_2": "SUITE H",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767104460",
            "telephone_number": "254-772-6579",
            "fax_number": "254-772-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNOSEK",
        "first_name": "CRAIG",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC7394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "DC7394",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.