Individual provider Active NPI

Daniel R. Kreusch, D.C.

  • Chiropractor
  • Arcanum, OH
National Provider Identifier
1295874162
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1951 Issued in OH
Practice address
601 Half North Main St.
Arcanum, OH 45304-1401
Phone
(937) 692-8570
Fax
(937) 692-8570
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1951 OH Primary

Addresses

Primary practice location

601 Half North Main St.
Arcanum, OH 45304-1401

Mailing address

601 1/2 N Main St
Arcanum, OH 45304-1401
Phone (937) 692-8570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101008000282 OH Practitioner - Chiropractic 9537351598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1993
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

601 /2 N Main St
Arcanum, OH 45304-1401
Phone (937) 692-8570

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1951OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kreusch Chiropractic Clinic Inc Chiropractor CurrentSince Apr 21, 2003 Accepting new patients

Locations

601 N Main St
Arcanum, OH 45304
Phone (513) 692-8570

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1295874162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 1/2 N MAIN ST",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453041401",
            "telephone_number": "937-692-8570",
            "fax_number": "937-692-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 HALF NORTH MAIN ST.",
            "city": "ARCANUM",
            "state": "OH",
            "postal_code": "453041401",
            "telephone_number": "937-692-8570",
            "fax_number": "937-692-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUSCH",
        "first_name": "DANIEL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcanum, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.