Dianne G Krogan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2117 Issued in MN

Practice address

5609 Chicago Ave
Minneapolis, MN 55417-2429

Phone

(612) 824-7012

Fax

(612) 822-8766

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1487704011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10008 MAPLE CIR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554312870",
            "telephone_number": "612-388-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5609 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554172429",
            "telephone_number": "612-824-7012",
            "fax_number": "612-822-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROGAN",
        "first_name": "DIANNE",
        "middle_name": "G",
        "name_prefix": "Ms.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "44-86873",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54D34KR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "823728000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trevor John Krizan
• Jennifer Krocak
• Kiley Christine Krocak, MSW, LICSW
• Patrice M Krocheski-Meyer, OTR
• Madison Wilder Kroehler, CCC-SLP
• Marcia Lynn Krogseng
• Kristina M Krohn, M.D.
• Sarah Krohn, MSW
• Scott William Krohn, MSW, LICSW
• Jerome Kroll, MD

• Chiropractor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.