Ryan James Krokstrom, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5181-12 Issued in WI

Practice address

700 E 3Rd St
Marshfield, WI 54449-4558

Phone

(715) 387-2990

NPI assigned

May 10, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Chiropractic and Laser Centers IncGroup PAC ID 3678873585, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Chiropractic and Laser Centers, Inc

  • Chiropractor
  • Black River Falls, WI
  • NPI 1548630841
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1462838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462838400000",
    "number": "1851747703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E 3RD ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494558",
            "telephone_number": "715-387-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E 3RD ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494558",
            "telephone_number": "715-387-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROKSTROM",
        "first_name": "RYAN",
        "middle_name": "JAMES",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-10",
        "last_updated": "2016-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5181-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Jo Krasselt, COTA
• Kayla Ann Kraus, FNP-BC
• Bruce R Krawisz, MD
• Lyndsey Krebsbach, COTA
• Jordan Marie Krizan, PT, DPT, AT, ATC
• Nicole Krolak, DO
• Anna Bernice Kronholm, PA-C
• Heather A Krueger, NP
• Rebecca Kruger
• Laura Prosser Kruse, PT

• Chiropractor in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.