Colleen A Krahl

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8173 Issued in AZ

Practice address

4532 E Lone Mountain Rd
Ste 107
Cave Creek, AZ 85331-4406

Phone

(480) 595-0001

Fax

(480) 595-9599

NPI assigned

May 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Colleen A Modrell Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Logan College of Chiropractic, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Champion Chiropractic

  • Chiropractor
  • Carefree, AZ
  • NPI 1174950943
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1760438188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 E LONE MOUNTAIN RD",
            "address_2": "STE 107",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314406",
            "telephone_number": "970-210-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4532 E LONE MOUNTAIN RD",
            "address_2": "STE 107",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853314406",
            "telephone_number": "480-595-0001",
            "fax_number": "480-595-9599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAHL",
        "first_name": "COLLEEN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CH5858",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8173",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "4822",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "MODRELL",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Linda Killingbeck, RN
• Nichole Dasom Kim
• Jaimee R Kimmel
• Laura Arlene Knecht, M.D.
• KNRB and Associates Global, LLC
• Greg Kram, DC
• Kruse Chiropractic, PLC
• Ruthann Kruse, D.C.
• Johnathan James Kuntz, PHARMD
• Kimberly Kustron

• Chiropractor in Cave Creek, AZ
• Providers in Cave Creek, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.