Individual provider Active NPI

Krystal Drwencke, D.C.

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1376824763
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
33268 Issued in CA
Practice address
1700 Market St
San Francisco, CA 94102-5806
Phone
(415) 881-1950
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 33268 CA Primary

Addresses

Primary practice location

1700 Market St
San Francisco, CA 94102-5806

Mailing address

1700 Market St
San Francisco, CA 94102-5806
Phone (415) 881-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33268CAMDPhysical Therapist
2399ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ascent Sports Rehabilitation and Performance Drwencke Chiropractic Chiropractor CurrentSince Nov 3, 2024 Accepting new patients
Built-in I Past Accepting new patients

Locations

1700 Market St
San Francisco, CA 94102
Phone (415) 881-1950

Organizations & group practices 2

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": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1376824763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025806",
            "telephone_number": "415-881-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025806",
            "telephone_number": "415-881-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRWENCKE",
        "first_name": "KRYSTAL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.