Individual provider Active NPI

Creon Talemedius Seastrunk Jr., DC

  • Chiropractor
  • Euless, TX
National Provider Identifier
1346880762
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14311 Issued in TX
Practice address
503 W Euless Blvd
Euless, TX 76040-4426
Phone
(817) 267-8850
NPI assigned
Jan 14, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14311 TX Primary

Addresses

Primary practice location

503 W Euless Blvd
Euless, TX 76040-4426

Mailing address

503 W Euless Blvd
Euless, TX 76040-4426
Phone (817) 267-8850

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drseastrunk@seastrunkchiropractic.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200203001950 TX Practitioner - Chiropractic 6507292992 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seastrunk Chiropractic LLCGroup PAC ID 2961878582, 2 clinicians

Practice addresses (Care Compare)

503 W Euless Blvd
Euless, TX 76040-4426
Phone (817) 267-8850

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Seastrunk Chiropractic LLC Chiropractor CurrentSince Nov 1, 2022 Accepting new patients
Witt Chiropractic, P.a. Chiropractor CurrentSince Oct 16, 2022 Accepting new patients

Locations

503 W Euless Blvd
Euless, TX 76040
Phone (817) 267-8850

Organizations & group practices 2

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": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1346880762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 W EULESS BLVD",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760404426",
            "telephone_number": "817-267-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 W EULESS BLVD",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760404426",
            "telephone_number": "817-267-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEASTRUNK",
        "first_name": "CREON",
        "middle_name": "TALEMEDIUS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-14",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "14311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drseastrunk@seastrunkchiropractic.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "503 W Euless Blvd",
            "city": "Euless",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760404426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; 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.