Individual provider Active NPI

Mark Willard Krebsbach, D.C.

  • Chiropractor
  • Green Bay, WI
National Provider Identifier
1750375523
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3966012 Issued in WI
Practice address
2337 S Ridge Rd
Green Bay, WI 54304-5857
Phone
(920) 497-8378
Fax
(920) 498-8363
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3966012 WI Primary

Addresses

Primary practice location

2337 S Ridge Rd
Green Bay, WI 54304-5857

Mailing address

2337 S Ridge Rd
Green Bay, WI 54304-5857
Phone (920) 497-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050224000614 WI Practitioner - Chiropractic 1355393117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2337 B S Ridge Rd
Green Bay, WI 54304-5857
Phone (920) 497-8378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3966WIMDClinical Social Worker
3966012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Quest Chiropractic LLC Chiropractor CurrentSince Sep 12, 2003 Accepting new patients

Locations

2337 S Ridge Rd
#B
Green Bay, WI 54304
Phone (920) 497-8378

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.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750375523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2337 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045857",
            "telephone_number": "920-497-8378",
            "fax_number": "920-498-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2337 S RIDGE RD",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045857",
            "telephone_number": "920-497-8378",
            "fax_number": "920-498-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREBSBACH",
        "first_name": "MARK",
        "middle_name": "WILLARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3966012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.