Active NPI
Keith R Schleper, B.A. D.C.
- Chiropractor
- Waite Park, MN
National Provider Identifier
1275557001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4622
- Practice address
- 2103 Frontage Rd N Ste 19
Waite Park, MN 56387-1869 - Phone
- (320) 252-2703
- Fax
- (320) 229-2647
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4622 | MN | Primary |
Addresses
Primary practice location
2103 Frontage Rd N Ste 19
Waite Park, MN 56387-1869
Mailing address
2103 Frontage Rd N Ste 19
Waite Park, MN 56387-1869
Phone (320) 493-3529
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317P4SC | Other | MN | BLUE CROSS/BLUE SHIELD |
| 084908100 | Other | MN | DEPT. OF HUMAN SERVICES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
709 County Rd 75
Saint Joseph, MN 56374-8660
Phone (320) 363-4694
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Connection PC | Chiropractor | Current | Accepting new patients |
| Chiropractic Connection PLLC | Chiropractor | Past | Accepting new patients |
| Century Chiropractic Center, P.a. | Chiropractor | Past | Accepting new patients |
Locations
709 County Road 75 W
Saint Joseph, MN 56374
Phone (320) 363-4694
Organizations & group practices 3
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.
-
- Chiropractor
- Saint Joseph, MN
- NPI 1952509143
-
- Chiropractor
- Waite Park, MN
- NPI 1063678357
-
- Chiropractor
- Alexandria, MN
- NPI 1437333861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275557001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2103 FRONTAGE RD N STE 19",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871869",
"telephone_number": "320-493-3529",
"fax_number": "320-229-2647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 FRONTAGE RD N STE 19",
"city": "WAITE PARK",
"state": "MN",
"postal_code": "563871869",
"telephone_number": "320-252-2703",
"fax_number": "320-229-2647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLEPER",
"first_name": "KEITH",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "B.A. D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4622",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "317P4SC",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF HUMAN SERVICES",
"identifier": "084908100",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waite Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.