Organization Active NPI

Krugman Family Chiropractic PA

  • Preferred Provider Organization
  • Cedar Park, TX
National Provider Identifier
1609069434
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
9080 Issued in TX
Legal business name
KRUGMAN FAMILY CHIROPRACTIC PA
Practice address
2301 S Lakeline Blvd
Ste:700
Cedar Park, TX 78613-3604
Phone
(512) 401-2008
Fax
(512) 401-2145
NPI assigned
Aug 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
Dr. Tyson Jon Krugman, D.C.
Title
Owner
Phone
(512) 401-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 9080 TX Primary

Addresses

Primary practice location

2301 S Lakeline Blvd
Ste:700
Cedar Park, TX 78613-3604

Mailing address

909 Old Mill Rd
Cedar Park, TX 78613-5903
Phone (512) 633-5669

National Provider Directory

National Provider Directory

Locations

2301 S Lakeline Blvd
Ste B700
Cedar Park, TX 78613
Phone (512) 401-2008

NPI Registry JSON

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1609069434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 OLD MILL RD",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786135903",
            "telephone_number": "512-633-5669",
            "fax_number": "512-401-2145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S LAKELINE BLVD",
            "address_2": "STE:700",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786133604",
            "telephone_number": "512-401-2008",
            "fax_number": "512-401-2145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUGMAN FAMILY CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "KRUGMAN",
        "authorized_official_first_name": "TYSON",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-401-2008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "9080",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 6, 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.