Individual provider Active NPI

Kimberly Swanson-Buffie, D.C.

  • Chiropractor
  • Rockford, MN
National Provider Identifier
1306993183
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3021 Issued in MN
Practice address
8340 Bridge St
Rockford, MN 55373-9578
Phone
(763) 477-4266
Fax
(763) 477-6228
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3021 MN Primary

Addresses

Primary practice location

8340 Bridge St
Rockford, MN 55373-9578

Mailing address

PO Box 207
Rockford, MN 55373-0207
Phone (763) 477-4266

Other identifiers 1

IdentifierTypeStateIssuer
407028300MedicaidMN

Other names 1

  • Dr. Kimberly Buffie Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040720000147 MN Practitioner - Chiropractic 4587643903 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3021MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Buffie Chiropractic Clinic PC Chiropractor CurrentSince Jan 1, 2004 Accepting new patients

Locations

3375 Plymouth Blvd
Ste 210
Plymouth, MN 55447
Phone (763) 557-7359

7949 Highway 55
#B
Rockford, MN 55373
Phone (763) 477-4266

8340 Bridge St
Rockford, MN 55373
Phone (763) 233-6800

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1306993183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 207",
            "city": "ROCKFORD",
            "state": "MN",
            "postal_code": "553730207",
            "telephone_number": "763-477-4266",
            "fax_number": "763-477-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 BRIDGE ST",
            "city": "ROCKFORD",
            "state": "MN",
            "postal_code": "553739578",
            "telephone_number": "763-477-4266",
            "fax_number": "763-477-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANSON-BUFFIE",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407028300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BUFFIE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockford, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.