Individual provider Active NPI

Thomas Alan Kriczky, D.O.

  • Chiropractor
  • North Wales, PA
National Provider Identifier
1265406771
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0049112 Issued in PA
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

Updated by the provider on Sep 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
DC0049112PAMDChiropractor

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.

Verify at the official NPI Registry.