HEALTHSOURCE OF CEDAR PARK, LLC
NPI 1366796401
Chiropractor in Cedar Park, TX

Active since October 26, 2012
201 S LAKELINE BLVD, SUITE 204, CEDAR PARK, TX 78613(512) 672-8408 Get Directions Write a Review

NPPES record last updated: November 14, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Healthsource Of Cedar Park, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALTHSOURCE OF CEDAR PARK, LLC (NPI 1366796401) is a healthcare organization registered as a chiropractor in Cedar Park, Texas and active in the NPI registry since October 2012. The organization lists Alexander C Klein, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1366796401
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTHSOURCE OF CEDAR PARK, LLC
Location Address201 S LAKELINE BLVD, SUITE 204Cedar Park, TX 78613-2718
Mailing Address201 S Lakeline Blvd, Suite 204Cedar Park, TX 78613-2718 · (512) 672-8408
Organization SubpartNo
Authorized OfficialAlexander C KleinOwner/authorized Official · (512) 740-6433
Enumeration DateOctober 26, 2012
Last NPPES UpdateNovember 14, 2012
✔ NPI 1366796401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in TX · 11209
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
201 S LAKELINE BLVD, Cedar Park, TX 78613

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healthsource Of Cedar Park, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Healthsource Of Cedar Park, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1932431715
1075N LAKELINE BLVD 108
Cedar Park, TX 78613
(512) 501-6941
✔ Accepts Medicare1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healthsource Of Cedar Park, LLC's NPI number?

The NPI number for Healthsource Of Cedar Park, LLC is 1366796401. It was assigned to this organization in the NPPES registry on October 26, 2012.

Where is Healthsource Of Cedar Park, LLC located?

Healthsource Of Cedar Park, LLC is located at 201 S Lakeline Blvd Suite 204, Cedar Park, TX 78613. The listed phone number is (512) 672-8408.

What is Healthsource Of Cedar Park, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Healthsource Of Cedar Park, LLC enrolled in Medicare?

Yes. Healthsource Of Cedar Park, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healthsource Of Cedar Park, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Healthsource Of Cedar Park, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healthsource Of Cedar Park, LLC was last updated on November 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.