Active NPI
Karin Desrocher, D.C.
- Chiropractor
- Eagan, MN
National Provider Identifier
1033422829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3376
- Practice address
- 1565 Cliff Rd
Suite 7
Eagan, MN 55122-2553 - Phone
- (651) 688-0462
- Fax
- (651) 688-7141
- NPI assigned
- Jul 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3376 | MN | Primary |
Addresses
Primary practice location
1565 Cliff Rd
Suite 7
Eagan, MN 55122-2553
Mailing address
1565 Cliff Rd
Suite 7
Eagan, MN 55122-2553
Phone (651) 688-0462
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3376 | MN | MD | Corneal and Contact Management Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marty-McDonald Health Services, P.a. | Chiropractor | Past | Accepting new patients |
| Nova Chiropractic and Wellness | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Burnsville, MN
- NPI 1598859381
-
- Chiropractor
- Burnsville, MN
- NPI 1871212951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279670400000",
"number": "1033422829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1565 CLIFF RD",
"address_2": "SUITE 7",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222553",
"telephone_number": "651-688-0462",
"fax_number": "651-688-7141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1565 CLIFF RD",
"address_2": "SUITE 7",
"city": "EAGAN",
"state": "MN",
"postal_code": "551222553",
"telephone_number": "651-688-0462",
"fax_number": "651-688-7141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESROCHER",
"first_name": "KARIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2010-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.