Krueger Chiropractic PLC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

06749 Issued in IA

Legal business name

KRUEGER CHIROPRACTIC PLC

Practice address

2785 N Ankeny Blvd
Ankeny, IA 50023-4705

Phone

(515) 964-5000

NPI assigned

Jun 26, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Otto Waldemar Krueger, DCNPI 1407944077

Title

Chiropractor

Phone

(515) 964-5000

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Otto Waldemar Krueger, DC, ATC, LMT

  • Chiropractor
  • Ankeny, IA
  • NPI 1407944077
  NPD (past) Authorized official

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1467716308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234705",
            "telephone_number": "515-964-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 N ANKENY BLVD",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234705",
            "telephone_number": "515-964-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUEGER CHIROPRACTIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "WALDEMAR",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "515-964-5000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IA",
            "license": "06749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407944077",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Ann Kramer, ARNP
• Emma Nicole Kritenbrink
• Kyle Dana Krogh, D.C.
• Stephanie Krois, PHARMD
• Darla Rae Krom, MSW, LISW
• Otto Waldemar Krueger, DC, ATC, LMT
• 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)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.