Active NPI
Robert Krage, D.C.
- Chiropractor
- Anaheim, CA
National Provider Identifier
1700964632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24734
- Practice address
- 10722 Katella Ave Ste 5
Anaheim, CA 92804-8104 - Phone
- (951) 347-4043
- Fax
- (858) 630-2538
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DC24734 | CA | Primary |
Addresses
Primary practice location
10722 Katella Ave Ste 5
Anaheim, CA 92804-8104
Mailing address
10722 Katella Ave Ste 5
Anaheim, CA 92804-8104
Phone (951) 347-4043
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 330780915 | Other | CA | PRACTICE TAX ID |
| DC24734 | Other | CA | BLUE CROSS OF CA |
| DC0247340 | Other | CA | BLUE SHIELD OF CA |
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 |
|---|---|---|---|
| DC24734 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inland Empire Integrated Pain Management Center Inc | Current | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Corona, CA
- NPI 1609458074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1700964632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10722 KATELLA AVE STE 5",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928048104",
"telephone_number": "951-347-4043",
"fax_number": "858-630-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10722 KATELLA AVE STE 5",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928048104",
"telephone_number": "951-347-4043",
"fax_number": "858-630-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAGE",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24734",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRACTICE TAX ID",
"identifier": "330780915",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CA",
"identifier": "DC24734",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "DC0247340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.