NPIMap

Organization Active NPI

National Dizzy & Balance Center,LTD.

  • Physical Medicine & Rehabilitation Physician
  • Bloomington, MN
National Provider Identifier
1023021938
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
NATIONAL DIZZY & BALANCE CENTER,LTD.
Practice address
4801 W 81St St Ste 112
Bloomington, MN 55437-1111
Phone
(952) 345-3000
Fax
(952) 345-6789
NPI assigned
Aug 14, 2006
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Thomas Kraemer, MDNPI 1588777676
Title
Owner
Phone
(952) 345-3000

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary
Physical Therapist 225100000X NU
Audiologist 231H00000X NU

Addresses

Primary practice location

4801 W 81St St Ste 112
Bloomington, MN 55437-1111

Mailing address

4801 W 81St St Ste 112
Bloomington, MN 55437-1111
Phone (952) 345-3000

Other identifiers 1

IdentifierTypeStateIssuer
874617600MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050705000689 MN Part B Supplier - Clinic/Group Practice 7315983954 Receives reassigned benefits from 56 practitioners
Practice locations: Blaine, MN; Bloomington, MN; Burnsville, MN; Edina, MN; Saint Paul, MN; Woodbury, MN

National Provider Directory

National Provider Directory

Locations

1630 101st Ave NE
Ste 160
Blaine, MN 55449
Phone (763) 786-6900

162 Cobblestone Ln
Burnsville, MN 55337
Phone (952) 345-3000

3400 W 66th St
Ste 300
Edina, MN 55435
Phone (952) 345-3000

1870 50th St E
Ste 1
Inver Grove Heights, MN 55077
Phone (651) 485-4866

4801 W 81st St
Ste 112
Minneapolis, MN 55437
Phone (952) 345-3000

6700 France Ave S
Ste 300
Minneapolis, MN 55435
Phone (952) 345-3000

360 Sherman St
Ste 390
Saint Paul, MN 55102
Phone (651) 383-4800

20 Thompson Ave E
Ste 203
West Saint Paul, MN 55118
Phone (651) 485-4866

7650 Currell Blvd
Ste 260
Woodbury, MN 55125
Phone (952) 345-3000

Practitioners & affiliated clinicians

Practitioners 78

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.

View all 78

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1023021938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4801 W 81ST ST STE 112",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371111",
            "telephone_number": "952-345-3000",
            "fax_number": "952-345-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 W 81ST ST STE 112",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371111",
            "telephone_number": "952-345-3000",
            "fax_number": "952-345-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL DIZZY & BALANCE CENTER,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "KRAEMER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-345-3000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874617600",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; 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.