Organization Active NPI

Kinetic RX, LLC

  • Durable Medical Equipment & Medical Supplies
  • Cedar Park, TX
National Provider Identifier
1831898279
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KINETIC RX, LLC
Practice address
11066 Pecan Park Blvd Ste 409
Cedar Park, TX 78613-1517
Phone
(512) 646-8300
NPI assigned
Feb 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Authorized official

Name
Gary Kral
Title
Owner
Phone
(512) 646-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

11066 Pecan Park Blvd Ste 409
Cedar Park, TX 78613-1517

Mailing address

11066 Pecan Park Blvd Ste 409
Cedar Park, TX 78613-1517
Phone (512) 646-8300

Other names 1

  • Mobility City of Central Texas Doing business as

National Provider Directory

National Provider Directory

Locations

11066 Pecan Park Blvd
Ste 409
Cedar Park, TX 78613
Phone (512) 646-8300

NPI Registry JSON

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

{
    "created_epoch": "1677196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677196800000",
    "number": "1831898279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11066 PECAN PARK BLVD STE 409",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131517",
            "telephone_number": "512-646-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11066 PECAN PARK BLVD STE 409",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786131517",
            "telephone_number": "512-646-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-24",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-24",
        "status": "A",
        "authorized_official_last_name": "KRAL",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-646-8300"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility City of Central Texas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; 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.