Active NPI
Mark A Kruse, D.C.
- Orthopedic Chiropractor
- Sioux City, IA
National Provider Identifier
1821077694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 04452
- Practice address
- 4716 Morningside Ave
Sioux City, IA 51106-3020 - Phone
- (712) 276-0712
- Fax
- (712) 276-0718
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 04452 | IA | |
| Orthopedic Chiropractor | 111NX0800X | 04452 | IA | Primary |
Addresses
Primary practice location
4716 Morningside Ave
Sioux City, IA 51106-3020
Mailing address
4716 Morningside Ave
Sioux City, IA 51106-3020
Phone (712) 276-0712
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1070789 | Other | IA | TITLE 19 |
| 6070 | Other | IA | SIOUX VALLEY HEALTH |
| 1070789 | Medicaid | IA | |
| 49930 | Other | IA | BLUE SHIELD |
| NE26410 | Other | NE | BLUE CROSS OF NE |
| 49930 | Other | IA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1821077694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4716 MORNINGSIDE AVE",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511063020",
"telephone_number": "712-276-0712",
"fax_number": "712-276-0718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4716 MORNINGSIDE AVE",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511063020",
"telephone_number": "712-276-0712",
"fax_number": "712-276-0718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUSE",
"first_name": "MARK",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "IA",
"license": "04452",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "IA",
"license": "04452",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TITLE 19",
"identifier": "1070789",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH",
"identifier": "6070",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1070789",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "49930",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NE",
"identifier": "NE26410",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "49930",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sioux City, IA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.