Cary Krusoff, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA779 Issued in ID

Practice address

178 E Quinn Rd
Pocatello, ID 83201-3502

Phone

(208) 237-4223

Fax

(208) 237-2011

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Country Chiropractic Inc.

  • Chiropractor
  • Pocatello, ID
  • NPI 1962529149
  NPD (past) Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253577600000",
    "number": "1699892026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 E QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013502",
            "telephone_number": "208-237-4223",
            "fax_number": "208-237-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 E QUINN RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013502",
            "telephone_number": "208-237-4223",
            "fax_number": "208-237-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSOFF",
        "first_name": "CARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806792100",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaunna Rae Kramer, NP-C
• Diana B Krawtz, NP
• Steven M Krawtz, M.D.
• Connie Kreizenbeck, M.COUN, LPC
• Julia Krek
• Vernon Robert Kubiak, APRN, CNS, CNP
• Kirby James Kuehn
• Amanda Sarah Kunz
• Daniel Christopher Kunz, OD
• Taylor Kunz

• Chiropractor in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.