Active NPI
Marcia Ann Krueger, D.C.
- Chiropractor
- Eden Prairie, MN
National Provider Identifier
1063670438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5128
- Practice address
- 7810 Terrey Pine CT
Eden Prairie, MN 55347-1186 - Phone
- (952) 937-1226
- Fax
- (952) 906-1811
- NPI assigned
- Jun 2, 2008
- Sex
- Female
- 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 | 5128 | MN | Primary |
Addresses
Primary practice location
7810 Terrey Pine CT
Eden Prairie, MN 55347-1186
Mailing address
7810 Terrey Pine CT
Eden Prairie, MN 55347-1186
Phone (952) 937-1226
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212364800000",
"number": "1063670438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7810 TERREY PINE CT",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553471186",
"telephone_number": "952-937-1226",
"fax_number": "952-906-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7810 TERREY PINE CT",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553471186",
"telephone_number": "952-937-1226",
"fax_number": "952-906-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER",
"first_name": "MARCIA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2008-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.