NPIMap

Organization Active NPI

Arthritis Consultants, PA

  • Specialist
  • Killeen, TX
National Provider Identifier
1780726646
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G9128 Issued in TX
Legal business name
ARTHRITIS CONSULTANTS, PA
Practice address
2301 S Clear Creek Rd
Suite 206
Killeen, TX 76549-4143
Phone
(254) 628-5454
Fax
(254) 628-2729
NPI assigned
Feb 13, 2007
Last updated
Jul 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2010

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

Authorized official

Name
Jeffrey W. Jundt, MD
Title
Owner
Phone
(254) 628-5454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G9128 TX Primary

Addresses

Primary practice location

2301 S Clear Creek Rd
Suite 206
Killeen, TX 76549-4143

Mailing address

2301 S Clear Creek Rd
Suite 206
Killeen, TX 76549-4143
Phone (254) 628-5454

Other identifiers 2

IdentifierTypeStateIssuer
0079KBOtherTXBLUE CROSS
116558105MedicaidTX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278460800000",
    "number": "1780726646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S CLEAR CREEK RD",
            "address_2": "SUITE 206",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494143",
            "telephone_number": "254-628-5454",
            "fax_number": "254-628-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S CLEAR CREEK RD",
            "address_2": "SUITE 206",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494143",
            "telephone_number": "254-628-5454",
            "fax_number": "254-628-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS CONSULTANTS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-07-07",
        "status": "A",
        "authorized_official_last_name": "JUNDT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-628-5454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "G9128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0079KB",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116558105",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.