Active NPI
Bryan Kretz, D.C.
- Chiropractor
- Little Elm, TX
National Provider Identifier
1568883304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1775
- Practice address
- 413 Shady Oaks LN
Little Elm, TX 75068-4020 - Phone
- (308) 672-2117
- NPI assigned
- Dec 20, 2013
- Last updated
- Feb 8, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1775 | NE | Primary |
Addresses
Primary practice location
413 Shady Oaks LN
Little Elm, TX 75068-4020
Mailing address
413 Shady Oaks LN
Little Elm, TX 75068-4020
Phone (308) 672-2117
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 |
|---|---|---|---|
| 13335 | TX | MD | Professional Counselor |
| 1775 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486512000000",
"number": "1568883304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 SHADY OAKS LN",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750684020",
"telephone_number": "308-672-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 SHADY OAKS LN",
"city": "LITTLE ELM",
"state": "TX",
"postal_code": "750684020",
"telephone_number": "308-672-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRETZ",
"first_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-20",
"last_updated": "2017-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Little Elm, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.