Individual provider Active NPI

David James Kreps, DC

  • Chiropractor
  • Dilworth, MN
National Provider Identifier
1992883870
Registry record updated Nov 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2116 Issued in MN
Practice address
1675 Highway 10 West
Suite B
Dilworth, MN 56529-1346
Phone
(218) 236-1187
Fax
(218) 236-8514
NPI assigned
Nov 1, 2006
Last updated
Nov 29, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2116 MN Primary
Chiropractor 111N00000X 346 MN
Chiropractor 111N00000X 488 ND

Addresses

Primary practice location

1675 Highway 10 West
Suite B
Dilworth, MN 56529-1346

Mailing address

PO Box 1275
Moorhead, MN 56561-1275
Phone (218) 236-1187

Other identifiers 7

IdentifierTypeStateIssuer
357027400MedicaidMN
411511678OtherUNITED HEALTH CARE
61292KROtherMNBCBS MN
350038504OtherRAIL ROAD MEDICARE
4482948OtherMEDICA ACN CHIROPRACTIC C
85934KROtherBCBS MN BLUE PLUS
10554OtherBCBS ND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2116MNMDChiropractor
488NDMDChiropractor
346MNMDMidwife

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354147200000",
    "number": "1992883870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1275",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565611275",
            "telephone_number": "218-236-1187",
            "fax_number": "218-236-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 HIGHWAY 10 WEST",
            "address_2": "SUITE B",
            "city": "DILWORTH",
            "state": "MN",
            "postal_code": "565291346",
            "telephone_number": "218-236-1187",
            "fax_number": "218-236-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREPS",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2012-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2116",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "346",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "357027400",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "411511678",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "61292KR",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "350038504",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA ACN CHIROPRACTIC C",
            "identifier": "4482948",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN BLUE PLUS",
            "identifier": "85934KR",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND",
            "identifier": "10554",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dilworth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.