Organization Active NPI

Kenneth R Krayenhagen DC PC

  • Chiropractor
  • Bettendorf, IA
National Provider Identifier
1639359383
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A06185 Issued in IA
Legal business name
KENNETH R KRAYENHAGEN DC PC
Practice address
2707 Kimberly Rd
Bettendorf, IA 52722-3549
Phone
(563) 508-1599
Fax
(563) 355-2111
NPI assigned
Nov 10, 2007
Last updated
May 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Authorized official

Name
Dr. Kenneth Robert Krayenhagen, D.C.
Title
President
Phone
(563) 508-1599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A06185 IA Primary

Addresses

Primary practice location

2707 Kimberly Rd
Bettendorf, IA 52722-3549

Mailing address

2707 Kimberly Rd
Bettendorf, IA 52722-3549
Phone (563) 508-1599

National Provider Directory

National Provider Directory

Locations

2322 E Kimberly Rd
Ste 10S
Davenport, IA 52807
Phone (563) 355-3815

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1639359383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2707 KIMBERLY RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223549",
            "telephone_number": "563-508-1599",
            "fax_number": "563-355-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2707 KIMBERLY RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223549",
            "telephone_number": "563-508-1599",
            "fax_number": "563-355-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R KRAYENHAGEN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-10",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "KRAYENHAGEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-508-1599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A06185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.