Organization Active NPI

Greg Kronenberg Crna, LLC

Doing business as Alpine Pain and Regenerative Medicine

  • Certified Registered Nurse Anesthetist
  • Ankeny, IA
National Provider Identifier
1194232108
Registry record updated Dec 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
D145432 Issued in IA
Legal business name
GREG KRONENBERG CRNA, LLC
Doing business as
Alpine Pain and Regenerative Medicine
Practice address
800 E 1St St Ste E230
Ankeny, IA 50021-2110
Phone
(775) 750-9502
NPI assigned
Dec 29, 2017
Last updated
Dec 29, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2017

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

Authorized official

Name
Mr. Greg George Kronenberg, CRNA
Title
Owner
Phone
(775) 750-9502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X D145432 IA Primary

Addresses

Primary practice location

800 E 1St St Ste E230
Ankeny, IA 50021-2110

Mailing address

1360 NE 31St St
Ankeny, IA 50021-6695
Phone (775) 750-9502

Other names 1

  • Alpine Pain and Regenerative Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1194232108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 NE 31ST ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500216695",
            "telephone_number": "775-750-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E 1ST ST STE E230",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500212110",
            "telephone_number": "775-750-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG KRONENBERG CRNA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-29",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "KRONENBERG",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-750-9502",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IA",
            "license": "D145432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Pain and Regenerative Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.