Individual provider Active NPI

Greg Kram, DC

  • Chiropractor
  • Cave Creek, AZ
National Provider Identifier
1447770383
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8588 Issued in AZ
Practice address
5109 E Juana CT
Cave Creek, AZ 85331-2327
Phone
(816) 916-7621
NPI assigned
Jun 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 8588 AZ Primary

Addresses

Primary practice location

5109 E Juana CT
Cave Creek, AZ 85331-2327

Mailing address

5109 E Juana CT
Cave Creek, AZ 85331-2327

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180508002437 MO Practitioner - Chiropractic 8729342266 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6716 N Oak Trfy
North Oak Chiro
Gladstone, MO 64118-3345
Phone (816) 436-7153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8588AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Gakdc LLC Chiropractor CurrentSince May 14, 2018 Accepting new patients
James S Waddell DC PC Chiropractor PastSince May 14, 2018 Accepting new patients

Locations

6716 N Oak Trfy
Kansas City, MO 64118
Phone (816) 436-7153

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1498003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498003200000",
    "number": "1447770383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5109 E JUANA CT",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 E JUANA CT",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312327",
            "telephone_number": "816-916-7621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAM",
        "first_name": "GREG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-21",
        "last_updated": "2017-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.