Organization Active NPI

Krantz Chiropractic and Wellness Center LTD

  • Chiropractor
  • Skippack, PA
National Provider Identifier
1124174842
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005885L Issued in PA
Legal business name
KRANTZ CHIROPRACTIC AND WELLNESS CENTER LTD
Practice address
4088 Skippack Pike
Skippack, PA 19474-0159
Phone
(610) 222-9555
Fax
(610) 222-9556
NPI assigned
Jan 26, 2007
Last updated
May 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Michael Krantz, D.C.NPI 1932343035
Title
Owner
Phone
(610) 222-9555

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
Chiropractor 111N00000X DC005885L PA Primary

Addresses

Primary practice location

4088 Skippack Pike
Skippack, PA 19474-0159

Mailing address

4088 Skippack Pike
PO Box 159
Skippack, PA 19474-0159
Phone (610) 222-9555

Other identifiers 2

IdentifierTypeStateIssuer
001643574OtherPAHIGHMARK BLUE SHIELD
2324233000OtherPAINDEPENDENCE BLUE CROSS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090430000189 PA Part B Supplier - Clinic/Group Practice 6103974159 Receives reassigned benefits from 1 practitioner
Practice locations: Skippack, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1124174842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4088 SKIPPACK PIKE",
            "address_2": "PO BOX 159",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194740159",
            "telephone_number": "610-222-9555",
            "fax_number": "610-222-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4088 SKIPPACK PIKE",
            "city": "SKIPPACK",
            "state": "PA",
            "postal_code": "194740159",
            "telephone_number": "610-222-9555",
            "fax_number": "610-222-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRANTZ CHIROPRACTIC AND WELLNESS CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "KRANTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-222-9555",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005885L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "001643574",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENCE BLUE CROSS",
            "identifier": "2324233000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skippack, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.