Individual provider Active NPI

Kenneth Douglas Krimpelbein, DC

  • Chiropractor
  • Oak Creek, WI
National Provider Identifier
1932272556
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3183-012 Issued in WI
Practice address
1900 W Ryan Rd
Oak Creek, WI 53154-8233
Phone
(414) 761-5777
Fax
(414) 761-7915
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3183-012 WI Primary

Addresses

Primary practice location

1900 W Ryan Rd
Oak Creek, WI 53154-8233

Mailing address

1900 W Ryan Rd
Oak Creek, WI 53154-8233
Phone (414) 761-5777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041208000298 WI Practitioner - Chiropractic 4981698313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oak Creek Relief and Wellness SCGroup PAC ID 8426014820, 6 clinicians

Practice addresses (Care Compare)

1900 W Ryan Rd
Oak Creek, WI 53154-8233
Phone (414) 761-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3183-012WIMDChiropractor
3183WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Creek Relief and Wellness SC Chiropractor CurrentSince Aug 24, 2004 Accepting new patients
Catalyst Wellness LLC Chiropractor PastSince Jan 5, 2015 Accepting new patients

Locations

1900 W Ryan Rd
Oak Creek, WI 53154
Phone (414) 761-5777

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1932272556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W RYAN RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548233",
            "telephone_number": "414-761-5777",
            "fax_number": "414-761-7915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 W RYAN RD",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548233",
            "telephone_number": "414-761-5777",
            "fax_number": "414-761-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIMPELBEIN",
        "first_name": "KENNETH",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3183-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.