Active NPI
Ashly Ellen Marie Krecklau, DC
- Chiropractor
- Eagan, MN
National Provider Identifier
1396474995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6984
- Practice address
- 4490 Erin Dr
Eagan, MN 55122-2357 - Phone
- (651) 209-9906
- Fax
- (651) 209-9909
- NPI assigned
- Jun 8, 2022
- Last updated
- Jun 8, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 6984 | MN | Primary |
Addresses
Primary practice location
4490 Erin Dr
Eagan, MN 55122-2357
Mailing address
4490 Erin Dr
Eagan, MN 55122-2357
Phone (651) 209-9906
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6984 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Health & Healing Inc | Current | Accepting new patients |
Locations
4490 Erin Dr
Saint Paul, MN 55122
Phone (651) 209-9906
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654646400000",
"number": "1396474995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4490 ERIN DR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222357",
"telephone_number": "651-209-9906",
"fax_number": "651-209-9909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4490 ERIN DR",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222357",
"telephone_number": "651-209-9906",
"fax_number": "651-209-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRECKLAU",
"first_name": "ASHLY",
"middle_name": "ELLEN MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-08",
"last_updated": "2022-06-08",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.