NPIMap

Organization Active NPI

Kingsway Chiropractic, PA

  • Clinic/Center
  • Lakeville, MN
National Provider Identifier
1063853166
Registry record updated Jul 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4523 Issued in MN
Legal business name
KINGSWAY CHIROPRACTIC, PA
Practice address
17595 Kenwood TRL
Suite 190
Lakeville, MN 55044-9226
Phone
(952) 898-5929
Fax
(952) 898-5959
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2013

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

Authorized official

Name
Dr. Joel Alan Fenske, DCNPI 1841317013
Title
Owner
Phone
(612) 432-8558

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
Clinic/Center 261Q00000X 4523 MN Primary

Addresses

Primary practice location

17595 Kenwood TRL
Suite 190
Lakeville, MN 55044-9226

Mailing address

17595 Kenwood TRL
Suite 190
Lakeville, MN 55044-9226
Phone (952) 898-5929

National Provider Directory

National Provider Directory

Locations

17595 Kenwood Trl
Ste 190
Lakeville, MN 55044
Phone (952) 898-5929

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1063853166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17595 KENWOOD TRL",
            "address_2": "SUITE 190",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449226",
            "telephone_number": "952-898-5929",
            "fax_number": "952-898-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17595 KENWOOD TRL",
            "address_2": "SUITE 190",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449226",
            "telephone_number": "952-898-5929",
            "fax_number": "952-898-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGSWAY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "FENSKE",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-432-8558",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "4523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.