Individual provider Active NPI

Arnold Melvin Krause, D.C.

  • Chiropractor
  • Benton, KY
National Provider Identifier
1851300040
Registry record updated Dec 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2665 Issued in KY
Practice address
710 Poplar St
Benton, KY 42025-1310
Phone
(270) 527-9061
Fax
(270) 527-2278
NPI assigned
Aug 5, 2006
Last updated
Dec 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2665 KY Primary

Addresses

Primary practice location

710 Poplar St
Benton, KY 42025-1310

Mailing address

710 Poplar St
Benton, KY 42025-1310
Phone (270) 527-9061

Other identifiers 2

IdentifierTypeStateIssuer
000000042850OtherKYBLUE CROSS/BLUE SHIELD
61-1076248OtherKYEMPLOYER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100125000593 KY Practitioner - Chiropractic 1052332657 Practice locations: Benton, KY

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1964
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

710 Poplar St
Benton, KY 42025-1310
Phone (270) 527-9061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2665KYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259884800000",
    "number": "1851300040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 POPLAR ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251310",
            "telephone_number": "270-527-9061",
            "fax_number": "270-527-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 POPLAR ST",
            "city": "BENTON",
            "state": "KY",
            "postal_code": "420251310",
            "telephone_number": "270-527-9061",
            "fax_number": "270-527-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "ARNOLD",
        "middle_name": "MELVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2009-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "2665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000042850",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER NUMBER",
            "identifier": "61-1076248",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Benton, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; 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.