Organization Active NPI

Kramer Chiropracitic Wellness Center, LLC

  • Chiropractor
  • Montgomery, MN
National Provider Identifier
1154557700
Registry record updated Jun 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KRAMER CHIROPRACITIC WELLNESS CENTER, LLC
Practice address
317 1St St S
Montgomery, MN 56069-1603
Phone
(507) 364-7500
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2009

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

Authorized official

Name
Dr. Stephen P Kramer, D.C.
Title
Partner
Phone
(507) 364-7500

Specialties & licenses 1

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

Addresses

Primary practice location

317 1St St S
Montgomery, MN 56069-1603

Mailing address

317 1St St S
Montgomery, MN 56069-1603
Phone (507) 364-7500

Other identifiers 6

IdentifierTypeStateIssuer
230977OtherMNACN CHIRO CARE #
87D95KROtherMNBCSC OF MN
631728600MedicaidMN
1225108905OtherMNINDIVIDUAL NPI #
44-00053OtherMNMEDICA PROVIDER #
HP31214OtherMNHEALTH PARTNERS ID #

National Provider Directory

National Provider Directory

Locations

317 1st St S
Montgomery, MN 56069
Phone (507) 364-7500

NPI Registry JSON

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

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244505600000",
    "number": "1154557700",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAMER CHIROPRACITIC WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2009-06-09",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "507-364-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN CHIRO CARE #",
            "identifier": "230977",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCSC OF MN",
            "identifier": "87D95KR",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631728600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1225108905",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA PROVIDER #",
            "identifier": "44-00053",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS ID #",
            "identifier": "HP31214",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2009; 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.