Kevin Krautsack, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5780 Issued in OR

Practice address

45 Division Ave
Suite H
Eugene, OR 97404-2489

Phone

(541) 226-3829

Fax

(541) 320-9028

NPI assigned

Apr 27, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Krautsack LLC

  • Chiropractor
  • Eugene, OR
  • NPI 1528593563
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1992230932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 DIVISION AVE",
            "address_2": "SUITE H",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042489",
            "telephone_number": "541-226-3829",
            "fax_number": "541-320-9028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 DIVISION AVE",
            "address_2": "SUITE H",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042489",
            "telephone_number": "541-226-3829",
            "fax_number": "541-320-9028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUTSACK",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Krampota
• Reed F Kratka, M.D.
• Melanie Krause, PHARMD
• Rachael L Krause
• Krautsack LLC
• Campion Paul Krautter
• Michelle D Krein, LMT
• Thomas Kreisman
• Kellie Kreitzberg, LCSW
• Linda Kreutzer

• Chiropractor in Eugene, OR
• Providers in Eugene, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.