Organization Active NPI

Donald J. Krippendorf PA

Doing business as Florida Chiropractic Institute

  • Chiropractor
  • St Petersburg, FL
National Provider Identifier
1073609616
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DONALD J. KRIPPENDORF PA
Doing business as
Florida Chiropractic Institute
Practice address
4641 Park Street North
St. Petersburg, FL 33709
Phone
(727) 544-7878
Fax
(727) 546-9253
NPI assigned
Oct 4, 2006
Last updated
Jun 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Authorized official

Name
Dr. Donald J Krippendorf, D.C.NPI 1831292150
Title
Doctor / Owner
Phone
(727) 544-7878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4641 Park Street North
St. Petersburg, FL 33709

Mailing address

4641 Park Street North
St. Petersburg, FL 33709
Phone (727) 544-7878

Other identifiers 1

IdentifierTypeStateIssuer
38496OtherFLBLUE CROSS/BLUE SHIELD GR

Other names 1

  • FLORIDA CHIROPRACTIC INSTITUTE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512000479 FL Part B Supplier - Clinic/Group Practice 6608865746 Receives reassigned benefits from 1 practitioner
Practice locations: Parrish, FL

National Provider Directory

National Provider Directory

Locations

2241 Nursery Rd
Clearwater, FL 33764
Phone (727) 535-7799

4641 Park St N
St Petersburg, FL 33709
Phone (727) 544-7878

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309392000000",
    "number": "1073609616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 PARK STREET NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33709",
            "telephone_number": "727-544-7878",
            "fax_number": "727-546-9253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 PARK STREET NORTH",
            "city": "ST. PETERSBURG",
            "state": "FL",
            "postal_code": "33709",
            "telephone_number": "727-544-7878",
            "fax_number": "727-546-9253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J. KRIPPENDORF PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-06-30",
        "status": "A",
        "authorized_official_last_name": "KRIPPENDORF",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR / OWNER",
        "authorized_official_telephone_number": "727-544-7878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD GR",
            "identifier": "38496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FLORIDA CHIROPRACTIC INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.