Tyson Jon Krugman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9080 Issued in TX

Practice address

200 N Lakeline Blvd Ste B
Cedar Park, TX 78613-2090

Phone

(512) 401-2008

Fax

(512) 401-2145

NPI assigned

Aug 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: tyson@lc0033.direct.chirotouch.md

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.

• Lakeline Chiropractic

  • Chiropractor
  • Cedar Park, TX
  • NPI 1427304658
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1407961667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N LAKELINE BLVD STE B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132090",
            "telephone_number": "512-401-2008",
            "fax_number": "512-401-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N LAKELINE BLVD STE B",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132090",
            "telephone_number": "512-401-2008",
            "fax_number": "512-401-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGMAN",
        "first_name": "TYSON",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "8F2565",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelley Lee Kramer, LPCC
• Kristy L Clinton DC PA
• Agueda Kroll
• Aaron Kropp, PTA
• Krugman Family Chiropractic PA
• Mamta Kumar, M.D.
• David Chih-Wei Kung, M.D.
• Linda Manchery Kuriakose, DO
• Julia Alexandra Kusak, PTA
• Kayla Ann Kusik

• Chiropractor in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.