Organization Active NPI

Sleepy Eye Chiropractic PA

  • Chiropractor
  • Sleepy Eye, MN
National Provider Identifier
1205997293
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2589 Issued in MN
Legal business name
SLEEPY EYE CHIROPRACTIC PA
Practice address
201 2ND Ave SW
Sleepy Eye, MN 56085-1316
Phone
(507) 794-4971
Fax
(507) 794-4971
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Dr. Matthew Paul Kirschstein, DCNPI 1871573162
Title
President
Phone
(507) 794-4971

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2388 MN
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X 2589 MN Primary

Addresses

Primary practice location

201 2ND Ave SW
Sleepy Eye, MN 56085-1316

Mailing address

201 2ND Ave SW
Sleepy Eye, MN 56085-1316
Phone (507) 794-4971

Other identifiers 1

IdentifierTypeStateIssuer
2419882-00MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100519000760 MN Part B Supplier - Clinic/Group Practice 6204965890 Receives reassigned benefits from 1 practitioner
Practice locations: Sleepy Eye, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D0969892Sleepy Eye Chiropractic PA201 2ND Avenue SW, Sleepy Eye, MN 56085Certificate of waiverJan 30, 2028

National Provider Directory

National Provider Directory

Locations

201 2nd Ave SW
Sleepy Eye, MN 56085
Phone (507) 794-4971

Practitioners & affiliated clinicians

Practitioners 1

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": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1205997293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 2ND AVE SW",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "560851316",
            "telephone_number": "507-794-4971",
            "fax_number": "507-794-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 2ND AVE SW",
            "city": "SLEEPY EYE",
            "state": "MN",
            "postal_code": "560851316",
            "telephone_number": "507-794-4971",
            "fax_number": "507-794-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLEEPY EYE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "KIRSCHSTEIN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-794-4971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2388",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2419882-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Eye, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.