Jedidiah F. Krauss, D.C.

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

1921 Issued in MN

Practice address

1001 Twelve Oaks Center Drive
Suite 1015
Wayzata, MN 55391

Phone

(952) 345-8244

Fax

(763) 546-8793

NPI assigned

Oct 10, 2006

Last updated

Sep 15, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Crossroad Chiropractic Clinic

  • Chiropractor
  • St Louis Park, MN
  • NPI 1598971640
  NPD (past) Authorized official
• Tree of Life Chiropractic Clinic P.a.

  • Chiropractor
  • Wayzata, MN
  • NPI 1326180860
  Authorized official Same address or phone
• Claussen Chiropractic, LLC

  • Chiropractor
  • Golden Valley, MN
  • NPI 1013185768
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1467549303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 TWELVE OAKS CENTER DRIVE",
            "address_2": "SUITE 1015",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "55391",
            "telephone_number": "952-345-8244",
            "fax_number": "763-546-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 TWELVE OAKS CENTER DRIVE",
            "address_2": "SUITE 1015",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "55391",
            "telephone_number": "952-345-8244",
            "fax_number": "763-546-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSS",
        "first_name": "JEDIDIAH",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MN",
            "license": "001921",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MN",
            "license": "1921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS PROVIDER",
            "identifier": "122231",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER",
            "identifier": "4402834",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "979T9KR",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "554327400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN PROVIDER",
            "identifier": "230439",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Annika Knutson
• Tyler Michael Knutson, DC, CSCS
• William Howard Koch II, P.T.
• Dawn Julia Koehler, PSY.D.
• Emily Kos, ND
• Josh Kruize
• Christopher Kruthoff, OD
• Carol Lee Kuster, PH.D., L.P.
• Kyrgitt Holdings LLC
• Kathy Jo Labowitch, WELLNESS TECHNICIAN

• Internist Chiropractor in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Internist Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.