Active NPI
Shane Warren Krukow, D.C.
- Chiropractor
- Iowa Falls, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- A05936
- Practice address
- 11175 Highway 65
Iowa Falls, IA 50126-8827 - Phone
- (641) 648-2446
- NPI assigned
- Sep 24, 2006
- Last updated
- Jul 8, 2007
- 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 | A05936 | IA | Primary |
Addresses
Primary practice location
11175 Highway 65
Iowa Falls, IA 50126-8827
Mailing address
11175 Highway 65
Iowa Falls, IA 50126-8827
Phone (641) 648-2446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1995
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
11323 Hwy 65
Iowa Falls, IA 50126-8822
Phone (641) 648-2446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A05936 | IA | MD | Chiropractor |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Iowa Falls, IA
- NPI 1992414742
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Iowa Falls, IA
- NPI 1639885734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1750481297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11175 HIGHWAY 65",
"city": "IOWA FALLS",
"state": "IA",
"postal_code": "501268827",
"telephone_number": "641-648-2446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11175 HIGHWAY 65",
"city": "IOWA FALLS",
"state": "IA",
"postal_code": "501268827",
"telephone_number": "641-648-2446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUKOW",
"first_name": "SHANE",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IA",
"license": "A05936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Iowa Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.