Individual provider Active NPI

Kevin Joseph Schreifels, DC

  • Rehabilitation Chiropractor
  • Minneapolis, MN
National Provider Identifier
1245315399
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4017 Issued in MN
Practice address
2937 Lyndale Ave S
Sutie 201
Minneapolis, MN 55408-2171
Phone
(612) 879-8000
Fax
(612) 879-8778
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 4017 MN Primary

Addresses

Primary practice location

2937 Lyndale Ave S
Sutie 201
Minneapolis, MN 55408-2171

Mailing address

2937 Lyndale Ave S
Sutie 201
Minneapolis, MN 55408-2171
Phone (612) 879-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131217001584 MN Practitioner - ChiropracticPractitioner - Sports Medicine 4587891692 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4017MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Paul Chiropractic PLLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

91 Snelling Ave N
Ste 220
Saint Paul, MN 55104
Phone (651) 493-4578

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245315399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 LYNDALE AVE S",
            "address_2": "SUTIE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082171",
            "telephone_number": "612-879-8000",
            "fax_number": "612-879-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 LYNDALE AVE S",
            "address_2": "SUTIE 201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082171",
            "telephone_number": "612-879-8000",
            "fax_number": "612-879-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHREIFELS",
        "first_name": "KEVIN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "4017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.