Individual provider Active NPI

Alexander Charles Klein, D.C.

  • Chiropractor
  • Cedar Park, TX
National Provider Identifier
1932431715
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11209 Issued in TX
Practice address
1075N Lakeline Blvd 108
Cedar Park, TX 78613-6775
Phone
(512) 501-6941
Fax
(512) 501-6942
NPI assigned
Feb 4, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11209 TX Primary

Addresses

Primary practice location

1075N Lakeline Blvd 108
Cedar Park, TX 78613-6775

Mailing address

1075N Lakeline Blvd 108
Cedar Park, TX 78613-6775
Phone (512) 501-6941

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000307 TX Practitioner - Chiropractic 1850420811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1075 N Lakeline Blvd
Suite 108
Cedar Park, TX 78613-6775
Phone (512) 501-6941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11209TXMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthsource of Cedar Park, LLC Chiropractor CurrentSince Feb 11, 2013 Accepting new patients

Locations

1075 N Lakeline Blvd
Ste 108
Cedar Park, TX 78613
Phone (512) 501-6941

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1265241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445472000000",
    "number": "1932431715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075N LAKELINE BLVD 108",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136775",
            "telephone_number": "512-501-6941",
            "fax_number": "512-501-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075N LAKELINE BLVD 108",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786136775",
            "telephone_number": "512-501-6941",
            "fax_number": "512-501-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "ALEXANDER",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-04",
        "last_updated": "2015-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.