Organization Active NPI

Katie Greeley DC, Inc

Doing business as Austin Wellness Chiropractic Center

  • Pediatric Chiropractor
  • Cedar Park, TX
National Provider Identifier
1316375058
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
12133 Issued in TX
Legal business name
KATIE GREELEY DC, INC
Doing business as
Austin Wellness Chiropractic Center
Practice address
3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540
Phone
(512) 635-1783
Fax
(512) 339-2664
NPI assigned
Oct 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Dr. Katie E Greeley, DC,NPI 1194745836
Title
President
Phone
(512) 234-1868

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
Pediatric ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NP0017X 12133 TX Primary

Addresses

Primary practice location

3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540

Mailing address

3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540
Phone (512) 363-5178

Other names 1

  • Austin Wellness Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230711001668 TX Part B Supplier - Clinic/Group Practice 3971962788 Receives reassigned benefits from 1 practitioner
Practice locations: Cedar Park, TX

National Provider Directory

National Provider Directory

Locations

6618 Sitio del Rio Blvd
Ste 101
Austin, TX 78730
Phone (512) 795-7575

Practitioners & affiliated clinicians

Practitioners 1

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": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1316375058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 KENAI DR STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132540",
            "telephone_number": "512-363-5178",
            "fax_number": "512-339-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 KENAI DR STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132540",
            "telephone_number": "512-635-1783",
            "fax_number": "512-339-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE GREELEY DC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "GREELEY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-234-1868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC,"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "TX",
            "license": "12133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Wellness Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.