Krupke Chiropractic PLLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

111N00000X Issued in MN

Legal business name

KRUPKE CHIROPRACTIC PLLC

Practice address

17266 Highway 23 NE Ste 101
New London, MN 56273-7816

Phone

(320) 354-4793

Fax

(320) 354-4585

NPI assigned

Jul 21, 2016

Last updated

Jul 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brett N Krupke, DCNPI 1174859995

Title

Chiropractor

Phone

(320) 354-4793

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

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.

• Brett Nathan Krupke, D.C.

  • Chiropractor
  • New London, MN
  • NPI 1174859995
  Medicare reassignment Authorized official
• Cassandra Lee Meis

  • Massage Therapist
  • New London, MN
  • NPI 1588230288
  NPD
• Donald Michael Zieske, D.C.

  • Chiropractor
  • New London, MN
  • NPI 1366435091
  NPD (past)

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469059200000",
    "number": "1700239001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562730099",
            "telephone_number": "320-354-4793",
            "fax_number": "320-354-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17266 HIGHWAY 23 NE STE 101",
            "city": "NEW LONDON",
            "state": "MN",
            "postal_code": "562737816",
            "telephone_number": "320-354-4793",
            "fax_number": "320-354-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUPKE CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A",
        "authorized_official_last_name": "KRUPKE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "320-354-4793",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": "111N00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Jo Eck, LAC
• Fischer Laser Eye Center, LLC (Family Eye Center)
• Nicholas Goelz
• Independent School District 345
• Katelyn Corine Krueger, PA-C
• Brett Nathan Krupke, D.C.
• Kwo 5 Star, Inc (Lake Region Home Health)
• Living Services Foundation New London LLC (Glenoaks Adult Daycare Services)
• Living Services Foundation/ New London LLC (Lake Region Home Health)
• Living Services Foundation/New London, LLC (Glenoaks Care Center)

• Health Maintenance Organization in New London, MN
• Providers in New London, MN by specialty
• Health Maintenance Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.