Individual provider Active NPI

Mark Kreamer

  • Chiropractor
  • Grapevine, TX
National Provider Identifier
1255799771
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13125 Issued in TX
Practice address
1011 W Wall St
Grapevine, TX 76051-5151
Phone
(817) 329-8393
NPI assigned
Jan 29, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13125 TX Primary

Addresses

Primary practice location

1011 W Wall St
Grapevine, TX 76051-5151

Mailing address

1011 W Wall St
Grapevine, TX 76051-5151
Phone (817) 329-8393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190628001402 TX Practitioner - Chiropractic 1456685197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1011 W Wall St
Grapevine, TX 76051-5151
Phone (817) 329-8393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13125TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kreamer Family Chiropractic PLLC Chiropractor CurrentSince Feb 15, 2021 Accepting new patients

Locations

1011 W Wall St
Grapevine, TX 76051
Phone (817) 329-8393

Interoperability endpoints

  • Direct secure messaging: mark.kreamer.1@18148.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1454025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1255799771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W WALL ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515151",
            "telephone_number": "817-329-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W WALL ST",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760515151",
            "telephone_number": "817-329-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREAMER",
        "first_name": "MARK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.