Kristy L Clinton DC PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8565 Issued in TX

Legal business name

KRISTY L CLINTON DC PA

Practice address

3109 Kenai Dr Ste 101
Cedar Park, TX 78613-2540

Phone

(512) 363-5178

Fax

(512) 339-2664

NPI assigned

Jul 26, 2012

Last updated

Oct 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristy L Clinton, DC

Title

Owner

Phone

(512) 363-5178

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

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.

• Kristina Leigh Clinton, DC

  • Chiropractor
  • Cedar Park, TX
  • NPI 1639186737
  Medicare reassignment NPD
• Christopher Robert Ammann, D.C.

  • Chiropractor
  • Cedar Park, TX
  • NPI 1629499579
  NPD (past)
• Tracie L Schwab, D.C.

  • Chiropractor
  • Cedar Park, TX
  • NPI 1043362858
  NPD (past)

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603324800000",
    "number": "1841546934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 KENAI DR STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132540",
            "telephone_number": "512-363-5178",
            "fax_number": "512-339-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 KENAI DR STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132540",
            "telephone_number": "512-363-5178",
            "fax_number": "512-339-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTY L CLINTON DC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2020-10-22",
        "certification_date": "2020-10-22",
        "status": "A",
        "authorized_official_last_name": "CLINTON",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-363-5178",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "8565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639286737",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BILLING@BACKBONECP.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "BUSINESS EMAIL",
            "address_1": "3109 Kenai Dr Ste 101",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786132540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Joseph Konopka, D.C.
• Parsa Koochak Kosari, PT, DPT
• Thanu Kovoor, CRNA
• Ian Koziatek
• Kelley Lee Kramer, LPC, LPCC
• Agueda Kroll
• Aaron Kropp, PTA
• Krugman Family Chiropractic PA
• Tyson Jon Krugman, D.C.
• Mamta Kumar, M.D.

• Chiropractor in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.