Lakeline Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9080 Issued in TX

Legal business name

LAKELINE CHIROPRACTIC

Practice address

2301 S Lakeline Blvd
B700
Cedar Park, TX 78613-4276

Phone

(512) 401-2008

Fax

(512) 401-2145

NPI assigned

Jul 25, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tyson J Krugman, D.C.NPI 1407961667

Title

Owner/Chiropractor

Phone

(512) 401-2008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyson Jon Krugman, D.C.

  • Chiropractor
  • Cedar Park, TX
  • NPI 1407961667
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1427304658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S LAKELINE BLVD",
            "address_2": "B700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134276",
            "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": "2301 S LAKELINE BLVD",
            "address_2": "B700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786134276",
            "telephone_number": "512-401-2008",
            "fax_number": "512-401-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKELINE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "KRUGMAN",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "512-401-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretta Alexandra Lacouture, PA-C
• Tina Lacy
• Nathaniel Alex Lafleur, M.D.
• Kiannah Nicole Lagunas, OD
• Ashley Laird
• Lakeline Emergency Center, LLC
• Lakeline Emergency Physicians, PLLC
• Lakeline Eye Center
• Lakeline Eyecare PLLC
• Lakeline Family Dental

• 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 Aug 2, 2012; 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.