Active NPI
Timothy J Krupa, DC
- Chiropractor
- Cannon Beach, OR
National Provider Identifier
1659527240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1458
- Practice address
- 232 N Spruce St.
Cannon Beach, OR 97110-0953 - Phone
- (503) 436-8772
- NPI assigned
- Aug 14, 2008
- Last updated
- Aug 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1458 | OR | Primary |
Addresses
Primary practice location
232 N Spruce St.
Cannon Beach, OR 97110-0953
Mailing address
PO Box 953
Cannon Beach, OR 97110-0953
Phone (503) 436-8772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1458 | OR | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cannon Beach Spa Inc | Past | Accepting new patients |
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.
-
- Physical Therapy Clinic/Center
- Cannon Beach, OR
- NPI 1134383920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218672000000",
"number": "1659527240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 953",
"city": "CANNON BEACH",
"state": "OR",
"postal_code": "971100953",
"telephone_number": "503-436-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 N SPRUCE ST.",
"city": "CANNON BEACH",
"state": "OR",
"postal_code": "971100953",
"telephone_number": "503-436-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPA",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-14",
"last_updated": "2008-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "1458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cannon Beach, OR
- Christopher Lewis Craft, FNP-BC
- Brianne Crane, MA, LPC
- Dragonheart Family Healthcare, LLC (Dragonheart Herbs & Natural Medicine)
- Seth A Goldstein, DC
- Melissa Haeckel, MELISSA HAECKEL
- Jodie Ann Leer, MA LMHC
- Providence Health & Services Oregon (Providence Seaside Hospital - Providence Cannon Beach Clinic)
- Cassidy Rice
- Timothy Richard Schendel, LCSW
- Total Being Counseling LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.