Brett Nathan Krupke, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5313 Issued in MN

Practice address

17266 Highway 23 NE Ste 101
New London, MN 56273-7816

Phone

(320) 354-4793

Fax

(320) 354-4585

NPI assigned

Oct 29, 2009

Last updated

Mar 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Krupke Chiropractic PLLC

  • Health Maintenance Organization
  • New London, MN
  • NPI 1700239001
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488326400000",
    "number": "1174859995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17266 HIGHWAY 23 NE STE 101",
            "address_2": "PO BOX 99",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562737816",
            "telephone_number": "320-354-4793",
            "fax_number": "320-354-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17266 HIGHWAY 23 NE STE 101",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562737816",
            "telephone_number": "320-354-4793",
            "fax_number": "320-354-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPKE",
        "first_name": "BRETT",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-29",
        "last_updated": "2017-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Karyn Loos, OTR/L

• Chiropractor in New London, MN
• Providers in New London, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.