Active NPI
Steven Kreul, DC
- Nutrition Chiropractor
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 5517-12
- Practice address
- 1610 14TH St NW Ste 101
Rochester, MN 55901-0229 - Phone
- (507) 323-9004
- NPI assigned
- Feb 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | 5517-12 | WI | Primary |
Addresses
Primary practice location
1610 14TH St NW Ste 101
Rochester, MN 55901-0229
Mailing address
1610 14TH St NW Ste 101
Rochester, MN 55901-0229
Phone (507) 323-9004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396027629 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 S Townline Rd
Wautoma, WI 54982-6922
Phone (920) 787-5514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5517-12 | WI | MD | Nutrition Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Solutions Chiropractic PLLC | Current | Accepting new patients | |
| La Clinica de Los Campesinos, Inc | Current | Accepting new patients | |
| La Clinica de Los Campesinos, Inc | Current | Accepting new patients | |
| Roots Wholistic Health | Past | Accepting new patients |
Locations
1610 14th St NW
Ste 101
Rochester, MN 55901
Phone (507) 323-9004
2501 Main St
Stevens Point, WI 54481
Phone (715) 254-9072
400 S Townline Rd
Wautoma, WI 54982
Phone (920) 647-8984
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Stevens Point, WI
- NPI 1790786929
-
- Clinic/Center
- Rochester, MN
- NPI 1083299648
-
- Pharmacy
- Wautoma, WI
- NPI 1174322846
-
- Chiropractor
- Waupaca, WI
- NPI 1396027629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1285268342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 14TH ST NW STE 101",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559010229",
"telephone_number": "507-323-9004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1610 14TH ST NW STE 101",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559010229",
"telephone_number": "507-323-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUL",
"first_name": "STEVEN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-27",
"last_updated": "2021-03-16",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "WI",
"license": "5517-12",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396027629",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.