Krueger Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3428012 Issued in WI

Legal business name

KRUEGER CHIROPRACTIC LLC

Practice address

436 Superior St
Antigo, WI 54409-1855

Phone

(715) 623-4687

Fax

(715) 623-0697

NPI assigned

May 30, 2007

Last updated

Jun 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Cary Krueger, D.C.NPI 1225179112

Title

Doctor of Chiropractic

Phone

(715) 623-4687

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew Cary Krueger, D.C.

  • Chiropractor
  • Antigo, WI
  • NPI 1225179112
  Medicare reassignment NPD Authorized official
• Amanda Rae Diercks, D.C.

  • Chiropractor
  • Antigo, WI
  • NPI 1548379498
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1487855078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 SUPERIOR ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091855",
            "telephone_number": "715-623-4687",
            "fax_number": "715-623-0697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 SUPERIOR ST",
            "city": "ANTIGO",
            "state": "WI",
            "postal_code": "544091855",
            "telephone_number": "715-623-4687",
            "fax_number": "715-623-0697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUEGER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "CARY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "715-623-4687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3428012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bartley R Kneeland, MD
• Jolene M Kopplin, NP
• Stephen M. Kordiyak, C.R.N.A.
• Michael Benjamin Kowitz
• Lisa Michelle Krebs, D.D.S.
• Andrew Cary Krueger, D.C.
• Hannah Elizabeth Krueger, MASSAGE THERAPIST
• Langlade County
• Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin (Aspirus Antigo Clinic)
• Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin

• Chiropractor in Antigo, WI
• Providers in Antigo, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.