Kathleen Delander, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6667 Issued in MN

Practice address

324 5TH Ave N
Bayport, MN 55003-1201

Phone

(651) 342-2199

Fax

(651) 342-2090

NPI assigned

Jul 12, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Vitality Chiropractic, LLC

  • Health Service Clinic/Center
  • Bayport, MN
  • NPI 1154949758
  NPD Authorized official
• Daulton Physical Therapy, LLC

  • Physical Therapist
  • Hudson, WI
  • NPI 1760806095
  NPD (past)

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597708800000",
    "number": "1275985335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 5TH AVE N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031201",
            "telephone_number": "651-342-2199",
            "fax_number": "651-342-2090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 5TH AVE N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031201",
            "telephone_number": "651-342-2199",
            "fax_number": "651-342-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANDER",
        "first_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6667",
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "WI",
            "license": "5193-12",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce F Filson DDS PA
• Buurtzorg Minnesota LLC
• Clemmens Chiropractic, P.a.
• Croixdale
• Kelsey Dale, LADC
• Deborah Diekmann, DDS
• Scott Howard Edlin, CHIROPRACTOR
• Bruce F Filson, DDS
• Eric John Hering, D.C.
• Inspired Chiropractic

• Chiropractor in Bayport, MN
• Providers in Bayport, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.