Kramer Chiropractic Wellness Center PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

5204 Issued in MN

Legal business name

KRAMER CHIROPRACTIC WELLNESS CENTER PLLC

Doing business as

Montgomery Family Chiropractic

Practice address

317 1St St S
Montgomery, MN 56069-1603

Phone

(507) 364-7500

Fax

(507) 364-7444

NPI assigned

Dec 4, 2009

Last updated

Dec 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shane Nate Molitor, D.C.NPI 1689816761

Title

President

Phone

(507) 364-7500

Specialties & licenses 1

Addresses

Other names 1

• Montgomery Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Kramer Chiropractic Wellness Center PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Paragon Outpatient Therapy Services,LLC

  dba Paragon Healthcare

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Henderson, NV
  • NPI 1821162710
  NPD tax ID

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Paragon Healthcare of Arizona,LLC.

  • Cardiopulmonary Physical Therapist
  • Bullhead City, AZ
  • NPI 1477786226

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shane Nate Molitor, D.C.

  • Chiropractor
  • Montgomery, MN
  • NPI 1689816761
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1259884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259884800000",
    "number": "1093043929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 1ST ST S",
            "city": "MONTGOMERY",
            "state": "MN",
            "postal_code": "560691603",
            "telephone_number": "507-364-7500",
            "fax_number": "507-364-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 1ST ST S",
            "city": "MONTGOMERY",
            "state": "MN",
            "postal_code": "560691603",
            "telephone_number": "507-364-7500",
            "fax_number": "507-364-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAMER CHIROPRACTIC WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-04",
        "last_updated": "2009-12-04",
        "status": "A",
        "authorized_official_last_name": "MOLITOR",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "NATE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-364-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "5204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kory Lee Isley, D.C.
• Geoffrey Allen Iverson, D.D.S.
• Nancy Marie Kaley, LADC
• Stephanie A Kivi, MD
• Kramer Chiropracitic Wellness Center, LLC
• Kathryn Ryan Langdon, LICSW
• Dannette Meeks-Hull, LICSW
• Shane Nate Molitor, D.C.
• Montgomery Family Dental, PLLC
• Susan M Rabenber, NP, CNP

• Health Service Clinic/Center in Montgomery, MN
• Providers in Montgomery, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.