Creative Pedorthics, LLC

Primary specialty

PedorthistTaxonomy code 224L00000X

Legal business name

CREATIVE PEDORTHICS, LLC

Practice address

1616 Azalea Dr
Suite 105
Temple, TX 76502-2774

Phone

(254) 773-2693

NPI assigned

Jun 2, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Karlheinz Reichl, CPED., BOCPED

Title

Owner/Manager

Phone

(254) 773-2693

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Arches Doing business as

Locations

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

{
    "created_epoch": "1338595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1972864353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 AZALEA DR",
            "address_2": "SUITE 105",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022774",
            "telephone_number": "254-773-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 AZALEA DR",
            "address_2": "SUITE 105",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765022774",
            "telephone_number": "254-773-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE PEDORTHICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-02",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "REICHL",
        "authorized_official_first_name": "KARLHEINZ",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "254-773-2693",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPED., BOCPED"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pedorthist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "6716820001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arches",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chandra M. Cravens, FNP
• John Corbyn Cravero
• Alissa Crawford
• Bronson Crawford, M.D.
• Tina Danielle Crawford, LVN
• George B Creel, MD
• Baron Crespo, PSY.D.
• Jessica Ramirez Crespo, PSY.D
• Gabriel Stuart Creswell, DO
• CRH of Temple LLC

• Pedorthist in Temple, TX
• Providers in Temple, TX by specialty
• Pedorthist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.