Organization Active NPI

Kruse Clinic of Chiropractic LLC

  • Chiropractor
  • Hopkins, MN
National Provider Identifier
1730414517
Registry record updated Oct 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5258 Issued in MN
Legal business name
KRUSE CLINIC OF CHIROPRACTIC LLC
Practice address
724 Mainstreet
Hopkins, MN 55343-7625
Phone
(952) 943-2584
Fax
(952) 224-1379
NPI assigned
Oct 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2009

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

Authorized official

Name
Dr. Mark A Kruse, D.C.
Title
President
Phone
(952) 943-2584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5258 MN Primary

Addresses

Primary practice location

724 Mainstreet
Hopkins, MN 55343-7625

Mailing address

724 Mainstreet
Hopkins, MN 55343-7625
Phone (952) 943-2584

National Provider Directory

National Provider Directory

Locations

724 Mainstreet
Hopkins, MN 55343
Phone (612) 759-9927

NPI Registry JSON

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1730414517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437625",
            "telephone_number": "952-943-2584",
            "fax_number": "952-224-1379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 MAINSTREET",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437625",
            "telephone_number": "952-943-2584",
            "fax_number": "952-224-1379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUSE CLINIC OF CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-943-2584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.