Active NPI
David Michael Kreusch, D.C.
- Chiropractor
- Englewood, OH
National Provider Identifier
1467534305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2312
- Practice address
- 5 Jefferson Street
Englewood, OH 45322 - Phone
- (937) 836-3313
- Fax
- (937) 836-9693
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- 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 | 2312 | OH | Primary |
Addresses
Primary practice location
5 Jefferson Street
Englewood, OH 45322
Mailing address
5 Jefferson Street
Englewood, OH 45322
Phone (937) 836-3313
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
5 Jefferson St
Englewood, OH 45322-1264
Phone (937) 836-3313
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2312 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David M Kreusch DC Corp | Chiropractor | Current | Accepting new patients |
Locations
5 Jefferson St
Englewood, OH 45322
Phone (937) 836-3313
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492992000000",
"number": "1467534305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 JEFFERSON STREET",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "45322",
"telephone_number": "937-836-3313",
"fax_number": "937-836-9693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 JEFFERSON STREET",
"city": "ENGLEWOOD",
"state": "OH",
"postal_code": "45322",
"telephone_number": "937-836-3313",
"fax_number": "937-836-9693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREUSCH",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2017-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.