Active NPI
Donald J Krippendorf, D.C.
- Chiropractor
- St Petersburg, FL
National Provider Identifier
1831292150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0001769
- Practice address
- 4641 Park St N
St Petersburg, FL 33709-4023 - Phone
- (727) 544-7878
- Fax
- (727) 546-9253
- NPI assigned
- Sep 6, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0001769 | FL | Primary |
| Neurology Chiropractor | 111NN0400X | CH0001769 | FL |
Addresses
Primary practice location
4641 Park St N
St Petersburg, FL 33709-4023
Mailing address
4641 Park Street North
St. Petersburg, FL 33709
Phone (727) 544-7878
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89606 | Other | FL | BLUE CROSS/BLUE SHIELD |
| 050460200 | Medicaid | FL | |
| 2214123 | Other | FL | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0001769 | FL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Donald J. Krippendorf PA | Chiropractor | Current | Accepting new patients |
Locations
4641 Park St N
St Petersburg, FL 33709
Phone (727) 544-7878
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.
-
- Chiropractor
- St. Petersburg, FL
- NPI 1073609616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357689600000",
"number": "1831292150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4641 PARK STREET NORTH",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "33709",
"telephone_number": "727-544-7878",
"fax_number": "727-546-9253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 PARK ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337094023",
"telephone_number": "727-544-7878",
"fax_number": "727-546-9253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIPPENDORF",
"first_name": "DONALD",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2013-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0001769",
"primary": true
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "FL",
"license": "CH0001769",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "89606",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050460200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2214123",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.