Ernest James Krist Jr., DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038-006563 Issued in IL

Practice address

1914 16TH St
Moline, IL 61265

Phone

(309) 762-1002

Fax

(309) 736-3484

NPI assigned

Aug 2, 2006

Last updated

Mar 13, 2015By the provider in NPPES

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)

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.

• Uptown Chiropractic Center LLC

  • Chiropractor
  • Moline, IL
  • NPI 1033374111
  Authorized official Same address or phone
• Home Bound Healthcare, Inc.

  • Home Health Agency
  • Sycamore, IL
  • NPI 1952553133
  NPD (past)
• Hurst Chiropractic

  • Chiropractor
  • Moline, IL
  • NPI 1083912190
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426204800000",
    "number": "1700893534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-762-1002",
            "fax_number": "309-736-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-762-1002",
            "fax_number": "309-736-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIST",
        "first_name": "ERNEST",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038-006563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "038006563",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Ade Koziczkowski, M.D.
• Kramer Hearing Aid Center
• Madison Lynne Krause
• Kelly Marie Krei, D.O.
• Kyle R. Kreinbring, M.D.
• Geraldine Marie Kruckenberg, DC
• Debra Kuhl, RPSGT, EEGT, BS
• Nataliya Kukhar, MD
• Usharani M Kumar, M.D.
• Reena Kunreddy, M.D

• Chiropractor in Moline, IL
• Providers in Moline, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.