Individual provider Active NPI

David M Krauss, DC

  • Chiropractor
  • Grants Pass, OR
National Provider Identifier
1154459402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 2561 Issued in OR
Practice address
1217 NE 6TH St
Grants Pass, OR 97526-1285
Phone
(541) 476-4616
Fax
(541) 476-4616
NPI assigned
Feb 28, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27 2561 OR Primary

Addresses

Primary practice location

1217 NE 6TH St
Grants Pass, OR 97526-1285

Mailing address

1217 NE 6TH St
Grants Pass, OR 97526-1285
Phone (541) 476-4616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120510000485 OR Practitioner - Chiropractic 3779745641 Practice locations: Grants Pass, OR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1217 NE 6TH St
Grants Pass, OR 97526-1285
Phone (541) 476-4616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2561ORMDPsychologist
27 2561ORMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154459402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261285",
            "telephone_number": "541-476-4616",
            "fax_number": "541-476-4616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 NE 6TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261285",
            "telephone_number": "541-476-4616",
            "fax_number": "541-476-4616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSS",
        "first_name": "DAVID",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 2561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.