Individual provider Active NPI

Thomas Mark Kolenda, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1396752184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8257 Issued in TX
Practice address
3818 Far West Blvd
Suite 110
Austin, TX 78731-3051
Phone
(512) 231-9002
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8257 TX Primary

Addresses

Primary practice location

3818 Far West Blvd
Suite 110
Austin, TX 78731-3051

Mailing address

3818 Far West Blvd
Suite 110
Austin, TX 78731-3051
Phone (512) 231-9002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396752184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3818 FAR WEST BLVD",
            "address_2": "SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313051",
            "telephone_number": "512-231-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3818 FAR WEST BLVD",
            "address_2": "SUITE 110",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787313051",
            "telephone_number": "512-231-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLENDA",
        "first_name": "THOMAS",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.