Active NPI
Thomas Alan Kriczky, D.O.
- Chiropractor
- North Wales, PA
National Provider Identifier
1265406771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0049112
- Practice address
- 631 S Sumneytown Pike
North Wales, PA 19454-2440 - Phone
- (215) 661-8600
- Fax
- (215) 699-3500
- NPI assigned
- Feb 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC0049112 | PA | Primary |
Addresses
Primary practice location
631 S Sumneytown Pike
North Wales, PA 19454-2440
Mailing address
631 S Sumneytown Pike
North Wales, PA 19454-2440
Phone (215) 661-8600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111123000018 | PA | Practitioner - Chiropractic | 0042484313 | Practice locations: North Wales, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
631 S Sumneytown Pike
North Wales, PA 19454-2440
Phone (215) 661-8600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC0049112 | PA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316390400000",
"number": "1265406771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 S SUMNEYTOWN PIKE",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194542440",
"telephone_number": "215-661-8600",
"fax_number": "215-699-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 S SUMNEYTOWN PIKE",
"city": "NORTH WALES",
"state": "PA",
"postal_code": "194542440",
"telephone_number": "215-661-8600",
"fax_number": "215-699-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRICZKY",
"first_name": "THOMAS",
"middle_name": "ALAN",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2011-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC0049112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Wales, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.