Individual provider Active NPI

Thomas Krueger, DC

  • Chiropractor
  • Loveland, CO
National Provider Identifier
1467573477
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5422 Issued in CO
Practice address
2692 Abarr Dr
Loveland, CO 80538-3156
Phone
(706) 228-7759
Fax
(970) 622-8761
NPI assigned
Apr 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5422 CO Primary

Addresses

Primary practice location

2692 Abarr Dr
Loveland, CO 80538-3156

Mailing address

4453 Pika Dr
Loveland, CO 80537-3431
Phone (303) 981-5871

Other practice location 1

5131 S College Ave Unit B
Fort Collins, CO 80525-3968
Phone (970) 266-0003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000029 CO Practitioner - Chiropractic 3476689563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2692 Abarr Dr
Loveland, CO 80538-3156
Phone (303) 981-5871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5422COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firstline Chiropractic Chiropractor CurrentSince May 24, 2019 Accepting new patients

Locations

2692 Abarr Dr
Loveland, CO 80538
Phone (970) 622-8775

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": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1467573477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4453 PIKA DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805373431",
            "telephone_number": "303-981-5871",
            "fax_number": "970-622-8775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 ABARR DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805383156",
            "telephone_number": "706-228-7759",
            "fax_number": "970-622-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5131 S College Ave Unit B",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805253968",
            "country_code": "US",
            "telephone_number": "970-266-0003",
            "fax_number": "970-266-8077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.