Organization Active NPI

Mark G. Krause, Professional Chiropractic Corporation

  • Chiropractor
  • El Cajon, CA
National Provider Identifier
1720253552
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC14116 Issued in CA
Legal business name
MARK G. KRAUSE, PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
2345 Fletcher Pkwy
El Cajon, CA 92020-2134
Phone
(619) 460-4465
Fax
(619) 460-0875
NPI assigned
Apr 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

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

Authorized official

Name
Dr. Mark G Krause, D.C.
Title
President
Phone
(619) 460-4465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC14116 CA Primary

Addresses

Primary practice location

2345 Fletcher Pkwy
El Cajon, CA 92020-2134

Mailing address

2345 Fletcher Pkwy
El Cajon, CA 92020-2134
Phone (619) 460-4465

Other names 1

  • Chiropractic Healing Arts Center Doing business as

National Provider Directory

National Provider Directory

Locations

2345 Fletcher Pkwy
El Cajon, CA 92020
Phone (619) 460-4465

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1720253552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 FLETCHER PKWY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202134",
            "telephone_number": "619-460-4465",
            "fax_number": "619-460-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 FLETCHER PKWY",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920202134",
            "telephone_number": "619-460-4465",
            "fax_number": "619-460-0875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK G. KRAUSE, PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-460-4465",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Healing Arts Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Cajon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.