Active NPI
Alton John Krenzelok
- Chiropractor
- Cheyenne, WY
National Provider Identifier
1104966779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 594
- Practice address
- 520 Randall Ave
Cheyenne, WY 82001-2774 - Phone
- (307) 433-8853
- Fax
- (307) 433-8854
- NPI assigned
- Feb 6, 2007
- 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 | 594 | WY | Primary |
Addresses
Primary practice location
520 Randall Ave
Cheyenne, WY 82001-2774
Mailing address
520 Randall Ave
Cheyenne, WY 82001-2774
Phone (307) 433-8853
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 594 | WY | MD | Clinical Neuropsychologist |
| 4384 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1104966779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 RANDALL AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820012774",
"telephone_number": "307-433-8853",
"fax_number": "307-433-8854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 RANDALL AVE",
"city": "CHEYENNE",
"state": "WY",
"postal_code": "820012774",
"telephone_number": "307-433-8853",
"fax_number": "307-433-8854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRENZELOK",
"first_name": "ALTON",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WY",
"license": "594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheyenne, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.