Individual provider Active NPI

Timothy M Stranahan, D.C.

  • Chiropractor
  • Austin, TX
National Provider Identifier
1598886384
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5485 Issued in TX
Practice address
4214 Medical Pkwy Ste 201
Austin, TX 78756-3323
Phone
(512) 458-9200
Fax
(512) 458-9300
NPI assigned
Apr 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5485 TX Primary

Addresses

Primary practice location

4214 Medical Pkwy Ste 201
Austin, TX 78756-3323

Mailing address

4214 Medical Pkwy Ste 201
Austin, TX 78756-3323
Phone (512) 458-9200

Other identifiers 2

IdentifierTypeStateIssuer
5485OtherTXLICENSE
605854OtherTXBCBS

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

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1598886384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 MEDICAL PKWY STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563323",
            "telephone_number": "512-458-9200",
            "fax_number": "512-458-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 MEDICAL PKWY STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563323",
            "telephone_number": "512-458-9200",
            "fax_number": "512-458-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANAHAN",
        "first_name": "TIMOTHY",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "5485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5485",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "605854",
            "state": "TX"
        }
    ],
    "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 Oct 24, 2012; 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.