Organization Active NPI

Krueger Family Chiropractic Clinic P.C.

  • Chiropractor
  • Tulsa, OK
National Provider Identifier
1982817268
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
#2557 Issued in OK
Legal business name
KRUEGER FAMILY CHIROPRACTIC CLINIC P.C.
Practice address
7030 S Lewis Ave Ste M
Tulsa, OK 74136-3915
Phone
(918) 493-1441
Fax
(918) 493-2879
NPI assigned
May 7, 2007
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Ms. Kimberley D. Pollock
Title
Office Manager
Phone
(918) 493-1441

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2557 OK
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X #2557 OK Primary

Addresses

Primary practice location

7030 S Lewis Ave Ste M
Tulsa, OK 74136-3915

Mailing address

7030-M So. Lewis
Tulsa, OK 74136
Phone (918) 493-1441

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120412000616 OK Part B Supplier - Clinic/Group Practice 9931360203 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1982817268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030-M SO. LEWIS",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74136",
            "telephone_number": "918-493-1441",
            "fax_number": "918-493-2879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 S LEWIS AVE STE M",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363915",
            "telephone_number": "918-493-1441",
            "fax_number": "918-493-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUEGER FAMILY CHIROPRACTIC CLINIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "POLLOCK",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "918-493-1441",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2557",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "#2557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.