Jay L Krottinger

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Practice address

22 S Lewis Ave
Tulsa, OK 74104-1615

Phone

(918) 770-9333

Fax

(918) 213-4888

NPI assigned

Dec 11, 2015

Last updated

Nov 5, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neuro Dynamics Penn

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Philadelphia, PA
  • NPI 1649745803
  NPD Authorized official
• Neuro Dynamics SD LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Rapid City, SD
  • NPI 1023975513
  NPD Authorized official
• Neuro Dynamics LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Tulsa, OK
  • NPI 1518332170
  Authorized official Same address or phone

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1730554031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "address_2": "LOCKBOX #5120",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740371430",
            "telephone_number": "918-770-9333",
            "fax_number": "918-213-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S LEWIS AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741041615",
            "telephone_number": "918-770-9333",
            "fax_number": "918-213-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROTTINGER",
        "first_name": "JAY",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-11",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raja Krishna, M.D.
• Sreelatha Kasuganti Krishna, M.D.
• Sonia Marie Krochak
• Kelsey Marie Krohner
• Hannah Mae Kropp
• Kelsey Donnette Kruckeberg, APRN-CNP
• Krueger Family Chiropractic Clinic P.C.
• John P Krueger, D.C
• Mary Christine Krumm, LCSW
• Steve Krumm, IHS

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.