Organization Active NPI

Ellen Krumme

  • Chiropractor
  • Mason, OH
National Provider Identifier
1780844415
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2119 Issued in OH
Legal business name
ELLEN KRUMME
Practice address
5770 Gateway
Suite103
Mason, OH 45040-1897
Phone
(513) 204-0050
Fax
(513) 204-7960
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Authorized official

Name
Dr. Ellen B Krumme, DC
Title
Owner
Phone
(513) 204-0050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2119 OH Primary

Addresses

Primary practice location

5770 Gateway
Suite103
Mason, OH 45040-1897

Mailing address

5770 Gateway
Suite103
Mason, OH 45040-1897
Phone (513) 204-0050

Other identifiers 2

IdentifierTypeStateIssuer
28960944800OtherOHOHIO BWC
380597OtherOHANTHEM

National Provider Directory

National Provider Directory

Locations

5770 Gateway
Ste 103
Mason, OH 45040
Phone (513) 204-0050

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344297600000",
    "number": "1780844415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 GATEWAY",
            "address_2": "SUITE103",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401897",
            "telephone_number": "513-204-0050",
            "fax_number": "513-204-7960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 GATEWAY",
            "address_2": "SUITE103",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401897",
            "telephone_number": "513-204-0050",
            "fax_number": "513-204-7960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLEN KRUMME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2012-08-07",
        "status": "A",
        "authorized_official_last_name": "KRUMME",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-204-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO BWC",
            "identifier": "28960944800",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "380597",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2012; 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.