NPIMap

Organization Active NPI

Kenwod Chiropractic Office

  • Chiropractor
  • Duluth, MN
National Provider Identifier
1174748974
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2601 Issued in MN
Legal business name
KENWOD CHIROPRACTIC OFFICE
Doing business as
TIMOTHY T. ZAKRAJSEK
Practice address
1410 Kenwood Ave
Duluth, MN 55811-2344
Phone
(218) 724-6008
Fax
(218) 724-4499
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Timothy Zakrajsek, D.C.NPI 1720122955
Title
Owner
Phone
(218) 724-6008

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2601 MN Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2876 MN
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2398-012 WI

Addresses

Primary practice location

1410 Kenwood Ave
Duluth, MN 55811-2344

Mailing address

1410 Kenwood Ave
Duluth, MN 55811-2344
Phone (218) 724-6008

Other identifiers 2

IdentifierTypeStateIssuer
350035360OtherMNRR MEDICARE-TIM ZAKRAJSEK
751828500MedicaidMN

Other names 1

  • TIMOTHY T. ZAKRAJSEK Doing business as

National Provider Directory

National Provider Directory

Locations

1410 Kenwood Ave
Duluth, MN 55811
Phone (218) 724-6008

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1174748974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 KENWOOD AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112344",
            "telephone_number": "218-724-6008",
            "fax_number": "218-724-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 KENWOOD AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112344",
            "telephone_number": "218-724-6008",
            "fax_number": "218-724-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENWOD CHIROPRACTIC OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "ZAKRAJSEK",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-724-6008",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2601",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2876",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2398-012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-TIM ZAKRAJSEK",
            "identifier": "350035360",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "751828500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TIMOTHY T. ZAKRAJSEK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.