Individual provider Active NPI

Barbara Kaiser, D.C.

  • Chiropractor
  • Red Wing, MN
National Provider Identifier
1073744215
Registry record updated Mar 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5218 Issued in MN
Practice address
29218 Highway 58 Blvd
Red Wing, MN 55066-7407
Phone
(651) 388-8294
Fax
(651) 388-7461
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5218 MN Primary

Addresses

Primary practice location

29218 Highway 58 Blvd
Red Wing, MN 55066-7407

Mailing address

15550 Cornell TRL
Rosemount, MN 55068-4684
Phone (651) 757-5096

Other practice location 1

3470 Washington Dr
Suite 108
Eagan, MN 55122-1355
Phone (651) 757-5096

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091110000782 MN Practitioner - Chiropractic 7416095526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29218 Hwy 58 Blvd
Red Wing, MN 55066-7407
Phone (651) 388-8294

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5218MNMDChiropractor

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1073744215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15550 CORNELL TRL",
            "city": "ROSEMOUNT",
            "state": "MN",
            "postal_code": "550684684",
            "telephone_number": "651-757-5096",
            "fax_number": "651-344-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29218 HIGHWAY 58 BLVD",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550667407",
            "telephone_number": "651-388-8294",
            "fax_number": "651-388-7461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3470 Washington Dr",
            "address_2": "Suite 108",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551221355",
            "country_code": "US",
            "telephone_number": "651-757-5096",
            "fax_number": "651-344-0796",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAISER",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Wing, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.