Carly Lucille Kriedberg, D.P.M

Primary specialty

PodiatristTaxonomy code 213E00000X

License

978 Issued in MN

Practice address

7600 France Ave S Ste 1100
Edina, MN 55435-5924

Phone

(952) 926-3566

Fax

(952) 929-3358

NPI assigned

Jun 23, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

William M. Scholl College of Podiatric Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Podiatry Company LLCGroup PAC ID 5890103097, 20 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Podiatry Company LLC

  • Podiatrist
  • Cambridge, MD
  • NPI 1457931610

  MN

  Medicare reassignment Care Compare group NPD
• Phase Two Podiatry PC

  • Podiatrist
  • Hewlett, NY
  • NPI 1821333063
  NPD

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

{
    "created_epoch": "1371945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275972259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355924",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 FRANCE AVE S STE 1100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355924",
            "telephone_number": "952-926-3566",
            "fax_number": "952-929-3358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7600 France Ave S Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554355924",
            "country_code": "US",
            "telephone_number": "952-926-3566",
            "fax_number": "952-929-3358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "952-334-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7250 France Ave S Ste 415",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354314",
            "country_code": "US",
            "telephone_number": "952-926-3566",
            "fax_number": "952-929-3358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3883 Coon Rapids Blvd NW",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554332518",
            "country_code": "US",
            "telephone_number": "952-926-3566",
            "fax_number": "763-442-9640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12940 Harriet Ave S Ste 230",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553372794",
            "country_code": "US",
            "telephone_number": "952-926-3566",
            "fax_number": "952-426-0029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 Eden Ave Ste 50",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554362367",
            "country_code": "US",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28050 Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483365919",
            "country_code": "US",
            "telephone_number": "952-334-5550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5201 Eden Ave Ste 50",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554362367",
            "country_code": "US",
            "telephone_number": "763-545-7545",
            "fax_number": "952-929-2067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRIEDBERG",
        "first_name": "CARLY",
        "middle_name": "LUCILLE",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-23",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "590100286",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MN",
            "license": "978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Krenik, MD
• Amy Krenzer, CNP
• Kreofsky Counseling Services
• Leslie A Kreofsky, LMFT
• Leann Margaret Krezowski, CNP
• Gautham Krishnan
• Jake Joseph Krisik, M.D.
• Megan Marie Kristan, MD
• Kristin S. Kildahl, Ma, LP, LLC
• Marius Kristupaitis, MD

• Podiatrist in Edina, MN
• Providers in Edina, MN by specialty
• Podiatrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.