Organization Active NPI

KRJ Billing & Practice Management

  • Surgical Technologist
  • Coppell, TX
National Provider Identifier
1669721379
Registry record updated Sep 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
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

Updated by the provider on Sep 10, 2012

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)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 246ZS0410X Primary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.