Active NPI
Karl Michael Degolier
- Behavior Technician
- Round Rock, TX
National Provider Identifier
1710501432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 20-118741
- Practice address
- 170 Deep Wood Dr
Round Rock, TX 78681-4944 - Phone
- (512) 910-3251
- NPI assigned
- May 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 20-118741 | TX | Primary |
Addresses
Primary practice location
170 Deep Wood Dr
Round Rock, TX 78681-4944
Mailing address
1556 Hill Circle South Dr
Granite Shoals, TX 78654-2451
Phone (512) 587-8088
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20-118741 | TX | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1710501432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1556 HILL CIRCLE SOUTH DR",
"city": "GRANITE SHOALS",
"state": "TX",
"postal_code": "786542451",
"telephone_number": "512-587-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 DEEP WOOD DR",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786814944",
"telephone_number": "512-910-3251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGOLIER",
"first_name": "KARL",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-29",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "TX",
"license": "20-118741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.