Organization Active NPI

Krenek Chiropractic

Doing business as Palacios Chiropractic

  • Chiropractor
  • West Columbia, TX
National Provider Identifier
1205296936
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
TXDC8705 Issued in TX
Legal business name
KRENEK CHIROPRACTIC
Doing business as
Palacios Chiropractic
Practice address
626 E Brazos Ave
West Columbia, TX 77486-2946
Phone
(979) 345-6325
NPI assigned
Feb 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Dr. David Shane Krenek, DCNPI 1548366842
Title
Owner
Phone
(979) 236-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X TXDC8705 TX Primary

Addresses

Primary practice location

626 E Brazos Ave
West Columbia, TX 77486-2946

Mailing address

626 E Brazos Ave
West Columbia, TX 77486-2946
Phone (979) 345-6325

Other identifiers 2

IdentifierTypeStateIssuer
1548366842OtherTXINDIVIDUAL NPI
TXB106165OtherTXMEDICARE PTAN

Other names 1

  • Palacios Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
David Shane Krenek2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

626 E Brazos Ave
West Columbia, TX 77486
Phone (979) 345-6325

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1205296936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 E BRAZOS AVE",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774862946",
            "telephone_number": "979-345-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 E BRAZOS AVE",
            "city": "WEST COLUMBIA",
            "state": "TX",
            "postal_code": "774862946",
            "telephone_number": "979-345-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRENEK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "KRENEK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "979-236-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "TXDC8705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1548366842",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "TXB106165",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palacios Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Columbia, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.