Nathan Harm Kruse, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009206 Issued in MI

Practice address

908 Penniman Ave
Plymouth, MI 48186

Phone

(734) 453-7090

Fax

(734) 453-9992

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Plymouth Chiropractic Wellness Clinic LLC

  • Chiropractor
  • Plymouth, MI
  • NPI 1518072776
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1386742955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 PENNIMAN AVE",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48186",
            "telephone_number": "734-453-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 PENNIMAN AVE",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "48186",
            "telephone_number": "734-453-7090",
            "fax_number": "734-453-9992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "NATHAN",
        "middle_name": "HARM",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "950H229090",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL",
            "identifier": "421536382",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Krohn
• Maria Kronner
• Emma Marie Krug, MSW
• Susan Christie Krupin-Carter, MT
• Ashley Krupp
• Marcella Aileen Kryka, LLMSW
• Natalie Krzemecki
• Carmen Kubasky
• Kristen Marie Kubik, NP
• Tiffany Kristen Kubisiak, M.ED., BCBA

• Chiropractor in Plymouth, MI
• Providers in Plymouth, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.