Individual provider Active NPI

Ly Minh Klatt, DC

  • Chiropractor
  • Owatonna, MN
National Provider Identifier
1154099075
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6416 Issued in MN
Practice address
203 N Elm Ave
Owatonna, MN 55060-2407
Phone
(507) 214-0089
Fax
(507) 214-0133
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6416 MN Primary

Addresses

Primary practice location

203 N Elm Ave
Owatonna, MN 55060-2407

Mailing address

203 N Elm Ave
Owatonna, MN 55060-2407
Phone (507) 214-0089

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6416MNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1154099075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 N ELM AVE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602407",
            "telephone_number": "507-214-0089",
            "fax_number": "507-214-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 N ELM AVE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602407",
            "telephone_number": "507-214-0089",
            "fax_number": "507-214-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLATT",
        "first_name": "LY",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2021; 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.