Active NPI
KRJ Billing & Practice Management
- Surgical Technologist
- Coppell, TX
National Provider Identifier
1669721379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- Legal business name
- KRJ BILLING & PRACTICE MANAGEMENT
- Practice address
- 701 Allen Rd
Coppell, TX 75019-3144 - Phone
- (469) 426-8683
- Fax
- (469) 453-3411
- NPI assigned
- Sep 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manuella Castellanos, NRCCS
- Title
- Ceo
- Phone
- (469) 426-8683
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | Primary | ||
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
701 Allen Rd
Coppell, TX 75019-3144
Mailing address
PO Box 618
Coppell, TX 75019-0618
Phone (469) 426-8683
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347235200000",
"number": "1669721379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 618",
"city": "COPPELL",
"state": "TX",
"postal_code": "750190618",
"telephone_number": "469-426-8683",
"fax_number": "469-453-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 ALLEN RD",
"city": "COPPELL",
"state": "TX",
"postal_code": "750193144",
"telephone_number": "469-426-8683",
"fax_number": "469-453-3411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRJ BILLING & PRACTICE MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-10",
"last_updated": "2012-09-10",
"status": "A",
"authorized_official_last_name": "CASTELLANOS",
"authorized_official_first_name": "MANUELLA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "469-426-8683",
"authorized_official_credential": "NRCCS"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": null,
"license": null,
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coppell, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.