Individual provider Active NPI

Kevin B Krieg, D.C.

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1528042843
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
950CHI Issued in MT
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

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
40823OtherMTBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120208000374 MT Practitioner - Chiropractic 1557253226 Reassigns benefits to 1 organization

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
Krieg Chiropractic Center IncGroup PAC ID 4385536044, 2 clinicians

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

LicenseStateTypeSpecialty
950CHIMTMDChiropractor
950MTMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Krieg Chiropractic Center, Inc Chiropractor CurrentSince Aug 4, 2003 Accepting new patients
Active Life Chiropractic, LLC Chiropractor PastSince Aug 4, 2003 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.

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.

Verify at the official NPI Registry.