Active NPI
Mark Gradwell Krause, DC
- Chiropractor
- El Cajon, CA
National Provider Identifier
1386695609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 14116
- Practice address
- 2345 Fletcher Pkwy
El Cajon, CA 92020-2134 - Phone
- (619) 460-4465
- NPI assigned
- May 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14116 | CA | Primary |
Addresses
Primary practice location
2345 Fletcher Pkwy
El Cajon, CA 92020-2134
Mailing address
2345 Fletcher Pkwy
El Cajon, CA 92020-2134
Phone (619) 460-4465
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1386695609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 FLETCHER PKWY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202134",
"telephone_number": "619-460-4465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 FLETCHER PKWY",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202134",
"telephone_number": "619-460-4465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "MARK",
"middle_name": "GRADWELL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-12",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.