Individual provider Active NPI

Christopher Ryan Krueger, D.C.

  • Chiropractor
  • East Wenatchee, WA
National Provider Identifier
1821365321
Registry record updated Nov 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH60252808 Issued in WA
Practice address
100 Valley Mall Pkwy Ste 5
East Wenatchee, WA 98802-5348
Phone
(509) 860-3461
NPI assigned
Nov 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH60252808 WA Primary

Addresses

Primary practice location

100 Valley Mall Pkwy Ste 5
East Wenatchee, WA 98802-5348

Mailing address

100 Valley Mall Pkwy Ste 5
East Wenatchee, WA 98802-5348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120110000002 WA Practitioner - Chiropractic 8527234731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Krueger Chiropractic PLLCGroup PAC ID 0941529648, 2 clinicians

Practice addresses (Care Compare)

1500 Sunset Hwy
East Wenatchee, WA 98802-4131
Phone (509) 888-6977

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH60252808WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Krueger Chiropractic PLLC Chiropractor CurrentSince Feb 28, 2015 Accepting new patients

Locations

1500 Sunset Hwy
East Wenatchee, WA 98802
Phone (509) 884-3368

100 Valley Mall Pkwy
Ste 5
East Wenatchee, WA 98802
Phone (509) 884-2339

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1821365321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 VALLEY MALL PKWY STE 5",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VALLEY MALL PKWY STE 5",
            "city": "EAST WENATCHEE",
            "state": "WA",
            "postal_code": "988025348",
            "telephone_number": "509-860-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60252808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Wenatchee, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; 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.

Verify at the official NPI Registry.