Ryan James Krog, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301401240 Issued in MI

Practice address

601 S Westwood Ave
Kingsford, MI 49802-1111

Phone

(906) 828-1384

NPI assigned

Dec 7, 2020

Last updated

Jun 6, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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 MI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iron Mountain Wellness Way LLCGroup PAC ID 4284178633, 2 clinicians

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iron Mountain Wellness Way LLC

  dba The Wellness Way Iron Mountain

  • Chiropractor
  • Kingsford, MI
  • NPI 1902647787
  Medicare reassignment Care Compare group NPD
• Biancos Physical Therapy & Wellness Center

  • Physical Therapist
  • Kingsford, MI
  • NPI 1063557270
  NPD

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1285230136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S WESTWOOD AVE",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498021111",
            "telephone_number": "906-828-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S WESTWOOD AVE",
            "city": "KINGSFORD",
            "state": "MI",
            "postal_code": "498021111",
            "telephone_number": "906-828-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROG",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-07",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Rose Kenny
• Karen Lynn Kirschner
• Amy Beth Kleikamp, PTA
• Evan Kleikamp
• Laura Marie Knoll
• Erin Elizabeth Kusz
• Meghan Lalonde
• Cynthia Lou Lamont, LMSW
• Jay Eric Lassila, PHARMD
• Cassandra Leslie

• Chiropractor in Kingsford, MI
• Providers in Kingsford, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.