Active NPI
Robert Steven Kreutz Jr., B.S., D.C.
- Chiropractor
- Lynnwood, WA
National Provider Identifier
1053319459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3134
- Practice address
- 13619 Mukilteo Speedway Ste B4
Lynnwood, WA 98087-1671 - Phone
- (425) 353-1011
- Fax
- (425) 353-1033
- NPI assigned
- Jul 9, 2005
- Last updated
- Nov 4, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 3134 | WA | Primary |
Addresses
Primary practice location
13619 Mukilteo Speedway Ste B4
Lynnwood, WA 98087-1671
Mailing address
215 79TH PL SW
Everett, WA 98203-6218
Phone (425) 387-2556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13624 Hwy 99
Suite B4
Lynnwood, WA 98087-1656
Phone (425) 353-1011
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3134 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bothell Regenerative Medicine | Past | Accepting new patients | |
| Kaufman Chiropractic Clinic Inc | Chiropractor | Past | Accepting new patients |
Networks
- WA PPO C-SNP
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
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.
-
- Chiropractor
- Mukilteo, WA
- NPI 1861628901
-
- Naturopath
- Bothell, WA
- NPI 1043872716
-
- Chiropractor
- Bothell, WA
- NPI 1265527386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572825600000",
"number": "1053319459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 79TH PL SW",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036218",
"telephone_number": "425-387-2556",
"fax_number": "425-353-1033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13619 MUKILTEO SPEEDWAY STE B4",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980871671",
"telephone_number": "425-353-1011",
"fax_number": "425-353-1033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUTZ",
"first_name": "ROBERT",
"middle_name": "STEVEN",
"name_suffix": "Jr.",
"credential": "B.S., D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-09",
"last_updated": "2019-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "3134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.