Triune a Creating Wellness Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

9061 Issued in TX

Legal business name

TRIUNE A CREATING WELLNESS CENTER

Practice address

1102 S Austin Ave Ste 103
Georgetown, TX 78626-6756

Phone

(512) 868-8900

NPI assigned

Feb 10, 2008

Last updated

Feb 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Michael Crump Jr., DCNPI 1194719021

Title

Owner

Phone

(512) 868-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Michael Crump Jr., DC

  • Chiropractor
  • Georgetown, TX
  • NPI 1194719021
  NPD (past) Authorized official

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

{
    "created_epoch": "1202601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202601600000",
    "number": "1669650842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 S AUSTIN AVE STE 103",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266756",
            "telephone_number": "512-868-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S AUSTIN AVE STE 103",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786266756",
            "telephone_number": "512-868-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUNE A CREATING WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-10",
        "last_updated": "2008-02-10",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-868-8900",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "0052LZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2008; 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.