Individual provider Active NPI

Kevin Robert Krieger, D.C.

  • Chiropractor
  • Sarasota, FL
National Provider Identifier
1063637858
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH11012 Issued in FL
Practice address
3641 Bahia Vista St
Sarasota, FL 34232-2407
Phone
(941) 331-4334
NPI assigned
Apr 16, 2007
Last updated
Apr 19, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301008103 MI
Chiropractor 111N00000X CH11012 FL Primary

Addresses

Primary practice location

3641 Bahia Vista St
Sarasota, FL 34232-2407

Mailing address

3641 Bahia Vista St
Sarasota, FL 34232-2407
Phone (941) 331-4334

Other practice location 1

24385 Halsted Rd
Farmington Hills, MI 48335-1609
Phone (248) 478-7544

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220325000147 FL Practitioner - Chiropractic 5597865733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3641 Bahia Vista St
Sarasota, FL 34232-2407
Phone (941) 331-4334

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Plain and Simple PLC Chiropractor CurrentSince Feb 1, 2022 Accepting new patients
William F Goss DC I PLLC Chiropractor PastSince Jul 20, 2016 Accepting new patients
Align Chiropractic Clinic Chiropractor Past Accepting new patients
William F Goss DC III PLLC Chiropractor Past Accepting new patients

Locations

3641 Bahia Vista St
Sarasota, FL 34232
Phone (941) 331-4334

Organizations & group practices 4

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1063637858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 BAHIA VISTA ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322407",
            "telephone_number": "941-331-4334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 BAHIA VISTA ST",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342322407",
            "telephone_number": "941-331-4334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24385 Halsted Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483351609",
            "country_code": "US",
            "telephone_number": "248-478-7544",
            "fax_number": "248-478-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "KEVIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301008103",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.