Krautsack LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5780 Issued in OR

Legal business name

KRAUTSACK LLC

Doing business as

Emerald City Family Chiropractic

Practice address

45 Division Ave
Suite H
Eugene, OR 97404-2489

Phone

(541) 226-3829

Fax

(541) 320-9028

NPI assigned

Apr 27, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Krautsack, DCNPI 1992230932

Title

Owner

Phone

(541) 226-3829

Specialties & licenses 1

Addresses

Other names 1

• Emerald City Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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

• Kevin Krautsack, DC

  • Chiropractor
  • Eugene, OR
  • NPI 1992230932
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1528593563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DIVISION AVE",
            "address_2": "SUITE H",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042489",
            "telephone_number": "541-226-3829",
            "fax_number": "541-320-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DIVISION AVE",
            "address_2": "SUITE H",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042489",
            "telephone_number": "541-226-3829",
            "fax_number": "541-320-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAUTSACK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "KRAUTSACK",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-226-3829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emerald City Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi Kramer
• Linda Krampota
• Reed F Kratka, M.D.
• Melanie Krause, PHARMD
• Rachael L Krause
• Kevin Krautsack, DC
• Campion Paul Krautter
• Michelle D Krein, LMT
• Thomas Kreisman
• Kellie Kreitzberg, LCSW

• Chiropractor in Eugene, OR
• Providers in Eugene, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.