Individual provider Active NPI

Rob D Krege, DC

  • Chiropractor
  • Webster, SD
National Provider Identifier
1619087236
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
770 Issued in SD
Practice address
610 Main St
Webster, SD 57274
Phone
(605) 345-4960
Fax
(605) 345-4960
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 770 SD Primary

Addresses

Primary practice location

610 Main St
Webster, SD 57274

Mailing address

610 Main St
Webster, SD 57274
Phone (605) 345-4960

Other identifiers 4

IdentifierTypeStateIssuer
4998661OtherSDWM BCBS
350050314OtherSDRAILROAD MEDICARE
22167OtherSDSIOUX VALLEY
7600233MedicaidSD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100223000681 SD Practitioner - Chiropractic 5294879672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

610 Main St
Webster, SD 57274-1452
Phone (605) 345-4960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
770SDMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Krege Family Chiropractic,PC Chiropractor CurrentSince Dec 1, 2000 Accepting new patients

Locations

1200 E 25th St
Hibbing, MN 55746
Phone (218) 312-3002

610 Main St
Webster, SD 57274
Phone (605) 345-4960

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1619087236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 MAIN ST",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "57274",
            "telephone_number": "605-345-4960",
            "fax_number": "605-345-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 MAIN ST",
            "city": "WEBSTER",
            "state": "SD",
            "postal_code": "57274",
            "telephone_number": "605-345-4960",
            "fax_number": "605-345-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREGE",
        "first_name": "ROB",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WM BCBS",
            "identifier": "4998661",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350050314",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIOUX VALLEY",
            "identifier": "22167",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7600233",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Webster, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.