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

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 and National Provider Directory roles.

• Krupke Chiropractic PLLC

  • Health Maintenance Organization
  • New London, MN
  • NPI 1700239001

  MN

  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": []
}

• Megan Anastasia Grimsley, CNP
• Grace Catherine Illies, PA-C
• Independent School District 345
• Katelyn Corine Krueger, PA-C
• Krupke Chiropractic PLLC
• Kwo 5 Star, Inc
• Living Services Foundation New London LLC
• Living Services Foundation/ New London LLC
• Living Services Foundation/New London, LLC
• Karyn Loos, OTR/L

• All providers in New London, MN
• 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.