Otto Waldemar Krueger, DC, ATC, LMT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06749 Issued in IA

Practice address

2785 N Ankeny Blvd
Ste. 16
Ankeny, IA 50023-4769

Phone

(515) 964-5000

NPI assigned

Oct 10, 2006

Last updated

Aug 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Krueger Chiropractic PLC

  • Rehabilitation Chiropractor
  • Ankeny, IA
  • NPI 1467716308
  NPD (past) Authorized official

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1407944077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 N ANKENY BLVD.",
            "address_2": "STE. 16",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "50023",
            "telephone_number": "515-964-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 N ANKENY BLVD",
            "address_2": "STE. 16",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234769",
            "telephone_number": "515-964-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "OTTO",
        "middle_name": "WALDEMAR",
        "name_prefix": "Dr.",
        "credential": "DC, ATC, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06749",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "00363",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "02340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Nicole Kritenbrink
• Kyle Dana Krogh, D.C.
• Stephanie Krois, PHARMD
• Darla Rae Krom, MSW, LISW
• Krueger Chiropractic PLC
• Kelly Kruse, M.D., M.P.H.
• John David Kuhnlein, D.O.
• Lindsey Marie La Rue, OTR/L
• Labounty Family Chiropractic, Inc. (Bountiful Life Chiropractic Center)
• Michael Damien Labounty, D.C.

• Chiropractor in Ankeny, IA
• Providers in Ankeny, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.