Individual provider Active NPI

Joshua James Kruse, D.C.

  • Chiropractor
  • Dakota Dunes, SD
National Provider Identifier
1245293521
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1240 Issued in SD
Practice address
330 Dakota Dunes Blvd
Suite 300
Dakota Dunes, SD 57049-5461
Phone
(605) 217-2100
Fax
(605) 217-2099
NPI assigned
Apr 8, 2006
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08655 IA
Chiropractor 111N00000X 4953 MN
Chiropractor 111N00000X 1240 SD Primary

Addresses

Primary practice location

330 Dakota Dunes Blvd
Suite 300
Dakota Dunes, SD 57049-5461

Mailing address

330 Dakota Dunes Blvd
Suite 300
Dakota Dunes, SD 57049-5461
Phone (605) 217-2100

Other identifiers 3

IdentifierTypeStateIssuer
S108002OtherSDPTAN
08390OtherIABLUE CROSS OF IA
08390OtherIABLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140212000741 SD Practitioner - Chiropractic 9335157791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

330 Dakota Dunes Blvd
Suite 300
Dakota Dunes, SD 57049-5462
Phone (605) 217-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08655IAMDGeneral Practice Dentistry
1240SDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kruse Chiropractic, PC Chiropractor CurrentSince Feb 17, 2014 Accepting new patients
Uptown Chiropractic, LLC Chiropractor PastSince May 8, 2007 Accepting new patients
Belde Chiropractic Clinic, PA Chiropractor PastSince Nov 1, 2012 Accepting new patients
IHS Midwest PC Chiropractor PastSince Mar 1, 2011 Accepting new patients
Manley & Obbink Chiropractic and Acupuncture LLP Chiropractor PastSince Jul 1, 1999 Accepting new patients
Rehabilitation Professionals, Inc Chiropractor Past Accepting new patients
Franklin Kruse Chiropractic PC Chiropractor PastSince Mar 17, 2008 Accepting new patients

Locations

330 Dakota Dunes Blvd
Ste 300
North Sioux City, SD 57049
Phone (605) 217-2100

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1245293521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 DAKOTA DUNES BLVD",
            "address_2": "SUITE 300",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495461",
            "telephone_number": "605-217-2100",
            "fax_number": "605-217-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 DAKOTA DUNES BLVD",
            "address_2": "SUITE 300",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495461",
            "telephone_number": "605-217-2100",
            "fax_number": "605-217-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "JOSHUA",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "08655",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4953",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "S108002",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IA",
            "identifier": "08390",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "08390",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dakota Dunes, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.