Active NPI
Paul Robert Kruper, D.P.M.
- Podiatrist
- Parlier, CA
National Provider Identifier
1982631917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E2411
- Practice address
- 650 S Zediker Ave
Parlier, CA 93648-2666 - Phone
- (559) 646-6618
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E2411 | CA | Primary |
Addresses
Primary practice location
650 S Zediker Ave
Parlier, CA 93648-2666
Mailing address
2601 - 19 Ave.
Kingsburg, CA 93631-1248
Phone (559) 897-2645
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110503000604 | CA | Order and Referring Only - Podiatry | 9234314493 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- paul.kruper.1@17661.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372204800000",
"number": "1982631917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2601 - 19 AVE.",
"city": "KINGSBURG",
"state": "CA",
"postal_code": "936311248",
"telephone_number": "559-897-2645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 S ZEDIKER AVE",
"city": "PARLIER",
"state": "CA",
"postal_code": "936482666",
"telephone_number": "559-646-6618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUPER",
"first_name": "PAUL",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2013-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "CA",
"license": "E2411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Parlier, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.