David James Kreps, DC
Individual provider Active NPI Chiropractor · Dilworth, MN
NPI 1992883870 · NPPES record last updated Nov 29, 2012
Key facts
- NPI
- 1992883870
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2116 (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
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 488 | ND | MD | Clinical Child & Adolescent Psychologist |
| 2116 | MN | MD | Marriage & Family Therapist |
| 346 | MN | MD | Midwife |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2116 | MN | Yes |
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61292KR | Other | MN | BCBS MN |
| 411511678 | Other | UNITED HEALTH CARE | |
| 350038504 | Other | RAIL ROAD MEDICARE | |
| 357027400 | Medicaid | MN | |
| 4482948 | Other | MEDICA ACN CHIROPRACTIC C | |
| 85934KR | Other | BCBS MN BLUE PLUS | |
| 10554 | Other | BCBS ND |
Other providers in Dilworth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.