Organization Active NPI

Craig Chiropractic and Kinesiology PC

Doing business as Whole Health Family Chiropractic

  • Chiropractor
  • Monticello, MN
National Provider Identifier
1013373703
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6161 Issued in MN
Legal business name
CRAIG CHIROPRACTIC AND KINESIOLOGY PC
Doing business as
Whole Health Family Chiropractic
Practice address
611 Walnut St Ste 2
Monticello, MN 55362-4575
Phone
(763) 295-4301
NPI assigned
Jan 11, 2016
Last updated
Jan 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Authorized official

Name
Dr. Shaun Craig, DCNPI 1053510214
Title
President
Phone
(763) 295-4301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6161 MN Primary

Addresses

Primary practice location

611 Walnut St Ste 2
Monticello, MN 55362-4575

Mailing address

611 Walnut St Ste 2
Monticello, MN 55362-4575
Phone (763) 295-4301

Other names 1

  • Whole Health Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160119001214 MN Part B Supplier - Clinic/Group Practice 9830492230 Receives reassigned benefits from 2 practitioners
Practice locations: Monticello, MN

National Provider Directory

National Provider Directory

Locations

611 Walnut St
Ste 2
Monticello, MN 55362
Phone (763) 295-4301

506 Cedar St
Monticello, MN 55362
Phone (763) 295-4301

Practitioners & affiliated clinicians

Practitioners 2

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": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452470400000",
    "number": "1013373703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 WALNUT ST STE 2",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624575",
            "telephone_number": "763-295-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 WALNUT ST STE 2",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624575",
            "telephone_number": "763-295-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG CHIROPRACTIC AND KINESIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-295-4301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whole Health Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monticello, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.