Job Krugly, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5801 Issued in NV

Practice address

2790 W Horizon Ridge Pkwy Ste 110
Henderson, NV 89052-3997

Phone

(702) 410-5354

NPI assigned

May 14, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114245131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523997",
            "telephone_number": "702-410-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 W HORIZON RIDGE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890523997",
            "telephone_number": "702-410-5354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9730 Del Mar Heights St",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891837240",
            "country_code": "US",
            "telephone_number": "702-813-8891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUGLY",
        "first_name": "JOB",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01360",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NV",
            "license": "5801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Duane Krohn, PHARM.D
• Thomas R Kroll, OD
• Amanda Kropf, PT
• Andrea Ellen Krueger, M.ED., MFT
• Mikael A Krueger, PHARM.D.
• Colin Kruse
• Breanne Rachelle Kryst, RBT
• William Kryst, PA-C
• Tomas Joseph Kucera, M.D.
• Tyese Kuhn

• Sports Physician Chiropractor in Henderson, NV
• Providers in Henderson, NV by specialty
• Sports Physician Chiropractor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.