Individual provider Active NPI

Maria Kreye, DC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1023707130
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7116 Issued in MN
Practice address
730 Cleveland Ave S
Saint Paul, MN 55116-1345
Phone
(651) 699-8610
NPI assigned
May 4, 2023
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6084-12 WI
Chiropractor 111N00000X 7116 MN Primary

Addresses

Primary practice location

730 Cleveland Ave S
Saint Paul, MN 55116-1345

Mailing address

642 Granite Ave N
Oakdale, MN 55128-6624
Phone (651) 253-4756

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240529003379 MN Practitioner - Chiropractic 4486096963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Langford Chiropractic PAGroup PAC ID 1658326863, 4 clinicians

Practice addresses (Care Compare)

730 Cleveland Ave S
Saint Paul, MN 55116-1345
Phone (651) 699-8610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6084-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Langford Chiropractic , PA Chiropractor CurrentSince May 15, 2024 Accepting new patients
Rebound Chiropractic & Rehab LLC Chiropractor PastSince Oct 27, 2024 Accepting new patients
Move.Well, LLC Chiropractor PastSince May 1, 2023 Accepting new patients

Locations

730 Cleveland Ave S
Saint Paul, MN 55116
Phone (651) 699-8610

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1023707130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 GRANITE AVE N",
            "city": "OAKDALE",
            "state": "MN",
            "postal_code": "551286624",
            "telephone_number": "651-253-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 CLEVELAND AVE S",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161345",
            "telephone_number": "651-699-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREYE",
        "first_name": "MARIA",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6084-12",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.