Krebaum Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5008 Issued in KS

Legal business name

KREBAUM CHIROPRACTIC LLC

Practice address

1027 Jackson St
Great Bend, KS 67530-4219

Phone

(620) 603-6688

Fax

(620) 603-6148

NPI assigned

Apr 30, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kyle James Krebaum, D.C.NPI 1740371657

Title

Primary Doctor

Phone

(620) 603-6688

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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.

• Kyle J Krebaum, D.C.

  • Chiropractor
  • Great Bend, KS
  • NPI 1740371657
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1588922348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 JACKSON ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304219",
            "telephone_number": "620-603-6688",
            "fax_number": "620-603-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 JACKSON ST",
            "city": "GREAT BEND",
            "state": "KS",
            "postal_code": "675304219",
            "telephone_number": "620-603-6688",
            "fax_number": "620-603-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREBAUM CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "KREBAUM",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRIMARY DOCTOR",
        "authorized_official_telephone_number": "620-603-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "5008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Joseph Koster, MD
• Kathleen A Kottas, ARNP
• Leah Kraemer
• Jessica Kraisinger
• Richard D Krause, D.P.M.
• Kyle J Krebaum, D.C.
• Adam Kristek, DPT
• Larry G Kutina, DDS
• L & L Training and Consulation
• Amanda Gail Lakin, APRN, PMHNP-BC

• Chiropractor in Great Bend, KS
• Providers in Great Bend, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.