John Smith Krage, D.C.,QME, CCFC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

14672 Issued in CA

Practice address

5333 Mission Center Rd
Suite 100
San Diego, CA 92108-1302

Phone

(619) 621-5520

Fax

(619) 621-5521

NPI assigned

Jul 11, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247270400000",
    "number": "1760611768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081302",
            "telephone_number": "619-621-5520",
            "fax_number": "619-621-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MISSION CENTER RD",
            "address_2": "SUITE 100",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081302",
            "telephone_number": "619-621-5520",
            "fax_number": "619-621-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAGE",
        "first_name": "JOHN",
        "middle_name": "SMITH",
        "name_prefix": "Dr.",
        "credential": "D.C.,QME, CCFC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-11",
        "last_updated": "2009-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "CA",
            "license": "14672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Ann Kraemer
• Heidi Kraft, PH.D., ABPP
• Julie Kraft
• Kai Sara-Phoebe Kraft
• Regina Kraft
• Nicholas Krahel
• Michael Andrew Krak, MD
• Rachel Lauren Krakauer, M.A.
• Teresa Ann Krall, PH.D.
• Ellen J. Kramar, MD

• Orthopedic Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthopedic Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.