Chandler Shane Krukow, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

110442 Issued in IA

Practice address

11323 Highway 65
Iowa Falls, IA 50126-8822

Phone

(641) 373-2771

Fax

(641) 648-2330

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 IA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Iowa Falls Chiropractic ClinicGroup PAC ID 8022453042, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Iowa Falls Chiropractic Clinic

  • Chiropractor
  • Iowa Falls, IA
  • NPI 1639885734
  Medicare reassignment Care Compare group NPD
• Shane Warren Krukow, D.C.

  • Chiropractor
  • Iowa Falls, IA
  • NPI 1750481297
  Medicare reassignment

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1992414742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11323 HIGHWAY 65",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501268822",
            "telephone_number": "641-648-2446",
            "fax_number": "641-648-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11323 HIGHWAY 65",
            "city": "IOWA FALLS",
            "state": "IA",
            "postal_code": "501268822",
            "telephone_number": "641-373-2771",
            "fax_number": "641-648-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUKOW",
        "first_name": "CHANDLER",
        "middle_name": "SHANE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "110442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Bradley Miller DDS (Iowa Falls Family Dentistry)
• Bryn Johnson, DDS
• JS-RF Inc (Corner Pharmacy)
• Jivan Koneru
• Scott Krueger, DPT
• Shane Warren Krukow, D.C.
• Kenneth Harlan Kuyper, DDS
• Felicia M Ledbetter, LMSW
• Jean Ann Linn
• Terri Jo Little, RD LD

• Chiropractor in Iowa Falls, IA
• Providers in Iowa Falls, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.