Gary Allen Kiekhoefer, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

2666 Issued in MN

Practice address

8619 W Point Douglas Rd S
Suite 110
Cottage Grove, MN 55016-4162

Phone

(651) 458-0094

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Kiekhoefer Chiropractic LLC

  • Health Service Clinic/Center
  • Cottage Grove, MN
  • NPI 1457536872
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083767719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 W POINT DOUGLAS RD S",
            "address_2": "SUITE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164162",
            "telephone_number": "651-458-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 W POINT DOUGLAS RD S",
            "address_2": "SUITE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164162",
            "telephone_number": "651-458-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEKHOEFER",
        "first_name": "GARY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "2666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Joshua Kamara, ADN, RN, LPN
• Mariyam Karrar, BDS, DDS
• David Gene Kelley, DDS
• James A Kerr, DDS
• Kiekhoefer Chiropractic LLC
• Kindcare Living LLC
• King David Home Health Care
• King David Home Health Care Services
• King David Home Health Care Services LLC
• Taylor Kline, MS

• Sports Physician Chiropractor in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Sports Physician Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.