Active NPI
Ingrid M Kruse, DC
- Chiropractor
- Pell City, AL
National Provider Identifier
1396735072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2037
- Practice address
- 1021 Martin St S
Pell City, AL 35128-2360 - Phone
- (205) 338-4545
- Fax
- (205) 338-4553
- NPI assigned
- Oct 25, 2005
- 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 | 2037 | AL | Primary |
Addresses
Primary practice location
1021 Martin St S
Pell City, AL 35128-2360
Mailing address
1021 Martin St S
Pell City, AL 35128-2360
Phone (205) 405-6099
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51534992 | Other | AL | BCBS OF ALABAMA |
| 331133195 | Other | AL | AETNA |
| 51534995 | Other | AL | BCBS OF ALABAMA |
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": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261958400000",
"number": "1396735072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 MARTIN ST S",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351282360",
"telephone_number": "205-405-6099",
"fax_number": "205-338-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 MARTIN ST S",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351282360",
"telephone_number": "205-338-4545",
"fax_number": "205-338-4553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "INGRID",
"middle_name": "M",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-25",
"last_updated": "2009-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "2037",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51534992",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "331133195",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF ALABAMA",
"identifier": "51534995",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pell City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.