NPIMap

Organization Active NPI

Kreg Therapeutics, Inc.

  • Customized Equipment (DME)
  • Washington, IL
National Provider Identifier
1477744985
Registry record updated Aug 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
KREG THERAPEUTICS, INC.
Practice address
1300 Washington Road
Washington, IL 61571-2368
Phone
(312) 829-8909
Fax
(312) 829-8909
NPI assigned
Aug 8, 2007
Last updated
Aug 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2007

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

Authorized official

Name
Maria I Mayorga
Title
Medicare Biller
Phone
(312) 829-8904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X IL Primary

Addresses

Primary practice location

1300 Washington Road
Washington, IL 61571-2368

Mailing address

1300 Washington Rd
Washington, IL 61571-2368
Phone (312) 829-8904

National Provider Directory

National Provider Directory
Tax ID family
Kreg Therapeutics Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1300 Washington Rd
Washington, IL 61571
Phone (312) 829-8909

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186531200000",
    "number": "1477744985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 WASHINGTON RD",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712368",
            "telephone_number": "312-829-8904",
            "fax_number": "312-829-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 WASHINGTON ROAD",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615712368",
            "telephone_number": "312-829-8909",
            "fax_number": "312-829-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREG THERAPEUTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A",
        "authorized_official_last_name": "MAYORGA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICARE BILLER",
        "authorized_official_telephone_number": "312-829-8904"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IL

Sources for this page

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