Individual provider Active NPI

Ashley Kroneberger

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1558727842
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6152 Issued in MN
Practice address
2110 Eagle Creek LN
Suite 400
Woodbury, MN 55129-3205
Phone
(612) 293-9294
NPI assigned
Jan 3, 2016
Last updated
Aug 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6152 MN Primary

Addresses

Primary practice location

2110 Eagle Creek LN
Suite 400
Woodbury, MN 55129-3205

Mailing address

1346 Devonshire Curv
Bloomington, MN 55431-5002
Phone (320) 905-2347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714001583 MN Practitioner - Chiropractic 3870885627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodbury Family ChiropracticGroup PAC ID 5092943837, 7 clinicians

Practice addresses (Care Compare)

2110 Eagle Creek LN
Suite 400
Woodbury, MN 55129-3209
Phone (612) 293-9294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6152MNMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbury Family Chiropractic Chiropractor CurrentSince Aug 1, 2016 Accepting new patients

Locations

2110 Eagle Creek Ln
Ste 400
Woodbury, MN 55129
Phone (612) 293-9294

8160 Coller Way
Ste B
Woodbury, MN 55125
Phone (612) 293-9294

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1451779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1558727842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 DEVONSHIRE CURV",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554315002",
            "telephone_number": "320-905-2347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 EAGLE CREEK LN",
            "address_2": "SUITE 400",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551293205",
            "telephone_number": "612-293-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONEBERGER",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-03",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; 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.