Organization Active NPI

Kruger Chiropractic Center, PLLC

  • Chiropractor
  • Ypsilanti, MI
National Provider Identifier
1922288976
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KRUGER CHIROPRACTIC CENTER, PLLC
Practice address
5413 Whittaker Rd
Ypsilanti, MI 48197-9751
Phone
(734) 961-9977
NPI assigned
Nov 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Dr. Mark James Kruger, DCNPI 1447312764
Title
Member
Phone
(734) 961-9977

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5413 Whittaker Rd
Ypsilanti, MI 48197-9751

Mailing address

5413 Whittaker Rd
Ypsilanti, MI 48197-9751
Phone (734) 961-9977

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080111000022 MI Part B Supplier - Clinic/Group Practice 7416038815 Receives reassigned benefits from 2 practitioners
Practice locations: Ypsilanti, MI

National Provider Directory

National Provider Directory

Locations

5413 Whittaker Rd
Ypsilanti, MI 48197
Phone (734) 961-9977

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1922288976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979751",
            "telephone_number": "734-961-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 WHITTAKER RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481979751",
            "telephone_number": "734-961-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUGER CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "734-961-9977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; 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.

Verify at the official NPI Registry.