Mark B Kruse Chiropractic Center LLC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

878 Issued in LA

Legal business name

MARK B KRUSE CHIROPRACTIC CENTER LLC

Practice address

4416 Trenton St
Metairie, LA 70006-6527

Phone

(504) 885-8899

Fax

(504) 885-0762

NPI assigned

Feb 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mark B Kruse, DCNPI 1104855444

Title

Owner

Phone

(504) 885-8899

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

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.

• Mark Bell Kruse, D.C.

  • Orthopedic Chiropractor
  • Metairie, LA
  • NPI 1104855444
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1174855050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4416 TRENTON ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066527",
            "telephone_number": "504-885-8899",
            "fax_number": "504-885-0762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 TRENTON ST",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700066527",
            "telephone_number": "504-885-8899",
            "fax_number": "504-885-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK B KRUSE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-885-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "LA",
            "license": "878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1936219",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Jude Marino, MD
• Meghan Marino
• Reshelle Catherine Marino, PH.D., LPC-S, NCC
• Richard D Marino, MD
• Donya Janae Marioneaux
• Markiewicz Podiatry,LLC
• Maria Markiewicz, DPM
• Panagiotis Markopoulos
• Brandon Marks, NRP
• Herbert W Marks, MD

• Orthopedic Chiropractor in Metairie, LA
• Providers in Metairie, LA by specialty
• Orthopedic Chiropractor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.