Kimberly Roach Krug

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001212 Issued in CT

Practice address

17 Fairty Dr
New Canaan, CT 06840-6240

Phone

(203) 650-7507

NPI assigned

Sep 17, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Ann Roach Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1379376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1326474834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 FAIRTY DR",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068406240",
            "telephone_number": "203-650-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 FAIRTY DR",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068406240",
            "telephone_number": "203-650-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUG",
        "first_name": "KIMBERLY",
        "middle_name": "ROACH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-17",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "ROACH",
            "middle_name": "ANN",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anri Aronovitch Kissilenko, M.D.
• Jennifer Klein, PHD
• Rosemary Ellen Klenk, MD
• Helene Kluger, L.C.S.W.
• Lenka Knag
• Mindy Kubrin, LCSW
• Warren James Lancaster
• Langs Pharmacy Inc
• Denise K Lautenbach, MD
• Heather Jane Lauver, RN

• Chiropractor in New Canaan, CT
• Providers in New Canaan, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.