Michael L Kreutz, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

14850 Issued in CA

Practice address

1502 N El Camino Real
San Clemente, CA 92672-5906

Phone

(949) 498-6440

Fax

(949) 498-6441

NPI assigned

Sep 25, 2006

Last updated

Sep 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Michael L Kreutz Chiropractic Inc

  • Chiropractor
  • San Clemente, CA
  • NPI 1457651713
  Authorized official Same address or phone
• Stephanie Glover Chiropractic Inc

  dba Golden Hour Chiropractic

  • Chiropractor
  • San Clemente, CA
  • NPI 1902500408
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1306947270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 N EL CAMINO REAL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725906",
            "telephone_number": "949-498-6440",
            "fax_number": "949-498-6441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 N EL CAMINO REAL",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926725906",
            "telephone_number": "949-498-6440",
            "fax_number": "949-498-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUTZ",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "14850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.