Active NPI
Kevin B Krieg, D.C.
- Chiropractor
- Missoula, MT
National Provider Identifier
1528042843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 950CHI
- Practice address
- 1070 N Russell St
Missoula, MT 59808-2004 - Phone
- (406) 541-8888
- Fax
- (406) 541-8891
- NPI assigned
- Nov 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 950CHI | MT | Primary |
Addresses
Primary practice location
1070 N Russell St
Missoula, MT 59808-2004
Mailing address
1070 N Russell St
Missoula, MT 59808-2004
Phone (406) 541-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40823 | Other | MT | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1070 N Russell St
Missoula, MT 59808-2004
Phone (406) 541-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 950CHI | MT | MD | Chiropractor |
| 950 | MT | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krieg Chiropractic Center, Inc | Chiropractor | Current | Accepting new patients |
| Active Life Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Locations
1070 N Russell St
Missoula, MT 59808
Phone (406) 541-7300
Organizations & group practices 2
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.
-
- Chiropractor
- Missoula, MT
- NPI 1831367374
-
- Chiropractor
- Missoula, MT
- NPI 1841688116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197417600000",
"number": "1528042843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1070 N RUSSELL ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598082004",
"telephone_number": "406-541-8888",
"fax_number": "406-541-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1070 N RUSSELL ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598082004",
"telephone_number": "406-541-8888",
"fax_number": "406-541-8891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEG",
"first_name": "KEVIN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-30",
"last_updated": "2007-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "950CHI",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "40823",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.