Active NPI
Thomas Joseph Konopka, D.C.
- Rehabilitation Chiropractor
- Cedar Park, TX
National Provider Identifier
1467531301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 7021
- Practice address
- 200 Buttercup Creek Blvd
Suite 106
Cedar Park, TX 78613-3708 - Phone
- (512) 249-8800
- Fax
- (512) 249-0337
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 7021 | TX | Primary |
Addresses
Primary practice location
200 Buttercup Creek Blvd
Suite 106
Cedar Park, TX 78613-3708
Mailing address
200 Buttercup Creek Blvd
Suite 106
Cedar Park, TX 78613-3708
Phone (512) 249-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2306055825 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7021 | TX | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1467531301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BUTTERCUP CREEK BLVD",
"address_2": "SUITE 106",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133708",
"telephone_number": "512-249-8800",
"fax_number": "512-249-0337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BUTTERCUP CREEK BLVD",
"address_2": "SUITE 106",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133708",
"telephone_number": "512-249-8800",
"fax_number": "512-249-0337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONOPKA",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "TX",
"license": "7021",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2306055825",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}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 Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.