Individual provider Active NPI

Katherine Krivan, D.C.

  • Chiropractor
  • Truckee, CA
National Provider Identifier
1669404372
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2890 Issued in MA
Practice address
10855 Pine Cone Dr
Truckee, CA 96161-3154
Phone
(520) 990-9788
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2890 MA Primary
Chiropractor 111N00000X 10324 TX
Chiropractor 111N00000X 7851 AZ
Chiropractor 111N00000X 32799 CA

Addresses

Primary practice location

10855 Pine Cone Dr
Truckee, CA 96161-3154

Mailing address

10855 Pine Cone Dr
Truckee, CA 96161-3154
Phone (520) 990-9788

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
32799CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Doherty Chiropractic Chiropractor Past Accepting new patients
Khoury Chiropractic, Inc. Chiropractor Past Accepting new patients
Olsen Chiropractic LLC Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1669404372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10855 PINE CONE DR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961613154",
            "telephone_number": "520-990-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10855 PINE CONE DR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961613154",
            "telephone_number": "520-990-9788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVAN",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "2890",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10324",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7851",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32799",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Truckee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.