Active NPI
Kenneth J Krieser, D.C.
- Chiropractor
- Nashotah, WI
National Provider Identifier
1013973155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4167-012
- Practice address
- W329N4362 Lakeland Dr
Nashotah, WI 53058-9708 - Phone
- (262) 563-1000
- Fax
- (262) 563-1200
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4167-012 | WI | Primary |
Addresses
Primary practice location
W329N4362 Lakeland Dr
Nashotah, WI 53058-9708
Mailing address
W329N4362 Lakeland Dr
Nashotah, WI 53058-9708
Phone (262) 563-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38967400 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
W329N4362 Lakeland Dr
Nashotah, WI 53058-9708
Phone (262) 563-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4167-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krieser Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Networks
- devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
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.
-
- Chiropractor
- Nashotah, WI
- NPI 1417092909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480636800000",
"number": "1013973155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W329N4362 LAKELAND DR",
"city": "NASHOTAH",
"state": "WI",
"postal_code": "530589708",
"telephone_number": "262-563-1000",
"fax_number": "262-563-1200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W329N4362 LAKELAND DR",
"city": "NASHOTAH",
"state": "WI",
"postal_code": "530589708",
"telephone_number": "262-563-1000",
"fax_number": "262-563-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIESER",
"first_name": "KENNETH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2016-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4167-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38967400",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashotah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.