NPIMap

Organization Active NPI

Ingrid M. Kruse DC, PA

  • Chiropractor
  • Pell City, AL
National Provider Identifier
1104937531
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2037 Issued in AL
Legal business name
INGRID M. KRUSE DC, PA
Practice address
1021 Martin St S
Pell City, AL 35128-2360
Phone
(205) 338-4545
Fax
(205) 338-4553
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Authorized official

Name
Ingrid M Kruse, DC
Title
Owner
Phone
(205) 405-6099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2037 AL Primary

Addresses

Primary practice location

1021 Martin St S
Pell City, AL 35128-2360

Mailing address

1021 Martin St S
Pell City, AL 35128-2360
Phone (205) 405-6099

National Provider Directory

National Provider Directory

Locations

1021 Martin St S
Pell City, AL 35128
Phone (205) 338-4545

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261958400000",
    "number": "1104937531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MARTIN ST S",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282360",
            "telephone_number": "205-405-6099",
            "fax_number": "205-338-4553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MARTIN ST S",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282360",
            "telephone_number": "205-338-4545",
            "fax_number": "205-338-4553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INGRID M. KRUSE DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-12-28",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-405-6099",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.