Individual provider Active NPI

Gerald Joseph Kruba, D.C.

  • Chiropractor
  • Shermans Dale, PA
National Provider Identifier
1902883093
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-004963-L Issued in PA
Practice address
5761 Spring Rd
Shermans Dale, PA 17090-8613
Phone
(717) 582-7900
Fax
(717) 582-3027
NPI assigned
Dec 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-004963-L PA Primary

Addresses

Primary practice location

5761 Spring Rd
Shermans Dale, PA 17090-8613

Mailing address

5761 Spring Rd
Shermans Dale, PA 17090-8613
Phone (717) 582-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120229000629 PA Practitioner - Chiropractic 8628236148 Practice locations: Shermans Dale, PA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5761 Spring Rd
Shermans Dale, PA 17090-8613
Phone (717) 582-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-004963-LPAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1902883093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5761 SPRING RD",
            "city": "SHERMANS DALE",
            "state": "PA",
            "postal_code": "170908613",
            "telephone_number": "717-582-7900",
            "fax_number": "717-582-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5761 SPRING RD",
            "city": "SHERMANS DALE",
            "state": "PA",
            "postal_code": "170908613",
            "telephone_number": "717-582-7900",
            "fax_number": "717-582-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUBA",
        "first_name": "GERALD",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-004963-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shermans Dale, PA

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.
  • 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.