DR. KEITH KRUKOWSKI (NPI# 1548697667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548697667 |
| Entity Type | Individual |
| Full Name | DR. KEITH KRUKOWSKI |
| Credential | D.C., CNIM |
| Practice Address |
10221 Crawford Farms Dr Fort Worth TX 76244-8566 |
| Mailing Address |
3400 Waterview Pkwy Richardson TX 75080-1472 |
| Practice Telephone | 8172051321 |
| Mailing Telephone | 8172051321 |
| Enumeration Date | 2013-10-03 |
| Last Update Date | 2020-09-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246Z00000X | Specialist/Technologist, Other | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
10221 CRAWFORD FARMS DR |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76244-8566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954853 | K2 Health Solutions, LLC | Technician/Technologist | 10221 Crawford Farms Dr, Fort Worth, TX 76244-8566 | 2020-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773510 | Aum Nitin Patel | Optometrist | 12584 N Beach Street #122, Keller, TX 76244 | 2020-09-07 |
| 1477178374 | Trinity Spine and Orthopedics, Pllc | Orthopaedic Surgery | 4444 Heritage Trace, Suite 408, Keller, TX 76244 | 2020-06-16 |
| 1235778622 | Hope Family Healthcare LLC | Nurse Practitioner | 4610 Heritage Trace Pkwy, Ste 400, Keller, TX 76244 | 2020-01-02 |
| 1104468917 | Kylie Ann Montgomery | Behavior Technician | 12650 N Beach St Suite 146, Fort Worth, TX 76244 | 2019-10-14 |
| 1376193433 | Ntkc - Dfw, Pllc | Internal Medicine | 10700 Victoria Ash Dr., Keller, TX 76244 | 2019-09-19 |
| 1629628532 | Today Dental of Saginaw Pllc | Dentist | 1628 Basswood Blvd, Fort Worth, TX 76244 | 2019-09-13 |
| 1962050492 | Precision Ambulatory Surgery Center, LLC | Ophthalmology | 9439 North Beach Street, Fort Worth, TX 76244 | 2019-08-28 |
| 1770145351 | Texas Health Spine Surgery Center Alliance LLC | Clinic/Center | 10900 Founders Way, Suite 100, Fort Worth, TX 76244 | 2019-07-03 |
| 1770048720 | Robin Jansen | Occupational Therapy Assistant | 4317 Oak Chase Dr, Keller, TX 76244 | 2019-02-04 |
| 1033687256 | Marian Abibatu James | Nurse Practitioner | 4516 Jaylin St, Keller, TX 76244 | 2018-11-06 |
| Find all providers in zip 76244 | ||||
| Taxonomy Code | 246Z00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598210817 | Leslie Paul Dula | Specialist/Technologist, Other | 2211 Mckinley Ave, Fort Worth, TX 76164-7739 | 2016-08-16 |
| 1881992097 | Jose Santana Jr. | Specialist/Technologist, Other | 10317 Dallam Ln, Fort Worth, TX 76108-4975 | 2011-03-11 |
| 1346482205 | Elite Monitoring Professional | Specialist/Technologist, Other | 8500 Prairie Dawn Dr, Fort Worth, TX 76131-5350 | 2009-03-24 |
| 1558961227 | Mark David Forester | Specialist/Technologist, Other | 1822 N Sylvania Ave, Fort Worth, TX 76111-2755 | 2020-10-30 |
| 1629557301 | Jon Moench | Specialist/Technologist, Other | 6551 Harris Pkwy Ste 250, Fort Worth, TX 76132-6115 | 2018-08-13 |
| 1063792943 | Bruce Dodd | Specialist/Technologist, Other | 100 W Rosedale St, Fort Worth, TX 76104-4852 | 2011-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649891169 | Edison Bio LLC | Specialist/Technologist, Other | 2700 Post Oak Blvd, Galleria Office Tower I, Houston, TX 77056 | 2020-05-06 |
| 1902456197 | Jimmie C Salazar | Specialist/Technologist, Other | 301 Tubb Loop Rd, Big Spring, TX 79720-0658 | 2019-09-19 |
| 1821646480 | Julio Rodriguez | Specialist/Technologist, Other | 7111 Elm St, Frisco, TX 75034-4234 | 2019-08-27 |
| 1700438074 | Myindustries, LLC | Specialist/Technologist, Other | 1151 N Buckner Blvd Ste 407, Dallas, TX 75218-3407 | 2019-07-16 |
| 1942862438 | Md Stream, LLC | Specialist/Technologist, Other | 2129 Fm 2920 Rd # 190-279, Spring, TX 77388-3671 | 2019-07-03 |
| 1427610575 | Anna L Landry | Specialist/Technologist, Other | 1432 Commerce, Buffalo, TX 75131 | 2019-06-28 |
| 1194381871 | Destry Graham Flatt | Specialist/Technologist, Other | 720 1/2 Rollingbrook Dr, Baytown, TX 77521-4059 | 2019-05-17 |
| 1881150670 | Ada J Smith | Specialist/Technologist, Other | 6414 Annunciation St, Houston, TX 77016-2102 | 2019-02-16 |
| 1952883027 | Jennifer Mortensen | Specialist/Technologist, Other | 2330 Timber Shadows Dr Ste 102, Kingwood, TX 77339-2675 | 2018-09-05 |
| 1255821435 | Axiom Health Services, LLC | Specialist/Technologist, Other | 5422 Alpha Rd, Dallas, TX 75240 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76244 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.