Active NPI
Jordan Kindiger, CNIM
- Electroneurodiagnostic Specialist/Technologist
- Austin, TX
National Provider Identifier
1588070080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Electroneurodiagnostic Specialist/Technologist
- License
- 1713
- Practice address
- 800 W 5TH St
Austin, TX 78703-5434 - Phone
- (415) 939-1934
- Fax
- (877) 409-5701
- NPI assigned
- Jul 3, 2014
- 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 |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | 1713 | TX | Primary |
Addresses
Primary practice location
800 W 5TH St
Austin, TX 78703-5434
Mailing address
PO Box 744
Austin, TX 78767-0744
Phone (415) 939-1934
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1713 | TX | MD | Electroneurodiagnostic Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481155200000",
"number": "1588070080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 744",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787670744",
"telephone_number": "415-939-1934",
"fax_number": "877-409-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W 5TH ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787035434",
"telephone_number": "415-939-1934",
"fax_number": "877-409-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDIGER",
"first_name": "JORDAN",
"credential": "CNIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2016-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "246ZE0600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": "TX",
"license": "1713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.