Benjamin Robert Kinderman, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5422 Issued in MN

Practice address

530 3Rd St NW
Elk River, MN 55330-1445

Phone

(763) 587-4800

Fax

(763) 587-4885

NPI assigned

Aug 18, 2010

Last updated

Aug 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kinderman Family Chiropractic IncorporatedGroup PAC ID 8426237306, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Kinderman Family Chiropractic Incorporated

  • Chiropractor
  • Hudson, WI
  • NPI 1154626463
  Medicare reassignment Care Compare group NPD Authorized official
• McCabe Chiropractic and Wellness Center Inc

  • Chiropractor
  • Hudson, WI
  • NPI 1336336296
  NPD (past)

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1063727733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 VINE ST STE 102",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540165864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 3RD ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301445",
            "telephone_number": "763-587-4800",
            "fax_number": "763-587-4885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2217 Vine St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540165864",
            "country_code": "US",
            "telephone_number": "715-939-0391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KINDERMAN",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-18",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4652-12",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinsley Jane Kehlenbeck, DDS
• Drew Kelly
• Jessica Kesinger, PA-C
• Ashley Nicole Kieffer
• Laurel Anae Kimpton, MPS, LADC
• Donelle Lynn King, CNP
• Neil Alexander King, LPCC, LADC
• Cassie Jo Kinkel
• Carly Dean Kirk
• Kimberley Dawn Kittock

• Chiropractor in Elk River, MN
• Providers in Elk River, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.