Individual provider Active NPI

Katherine Ann Upmann, DC

  • Chiropractor
  • Coon Rapids, MN
National Provider Identifier
1326511379
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6575 Issued in MN
Practice address
1835 Gateway Dr NW
Coon Rapids, MN 55448-4511
Phone
(763) 710-8888
Fax
(763) 225-5629
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6575 MN Primary

Addresses

Primary practice location

1835 Gateway Dr NW
Coon Rapids, MN 55448-4511

Mailing address

1835 Gateway Dr NW
Coon Rapids, MN 55448-4511
Phone (763) 710-8888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321001414 MN Practitioner - Chiropractic 5597005975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern University Feinberg Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moe Chiro Tres PLLCGroup PAC ID 4284062902, 2 clinicians

Practice addresses (Care Compare)

1835 Gateway Dr NW
Suite 104
Coon Rapids, MN 55448-4513
Phone (763) 710-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6575MNMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Moses S M Smith Chiropractic LLC Chiropractor CurrentSince Jan 3, 2019 Accepting new patients
Moe Chiro Tres PLLC Chiropractor CurrentSince Dec 29, 2019 Accepting new patients
Lucky Cat Acupuncture and Herbal Medicine Past Accepting new patients

Locations

1835 Gateway Dr NW
Coon Rapids, MN 55448
Phone (763) 710-8888

3541 Lyndale Ave S
Minneapolis, MN 55408
Phone (612) 824-1829

1835 Gateway Dr NW
Ste 104
Minneapolis, MN 55448
Phone (763) 710-8888

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.

NPI Registry JSON

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1326511379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 GATEWAY DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484511",
            "telephone_number": "763-710-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 GATEWAY DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484511",
            "telephone_number": "763-710-8888",
            "fax_number": "763-225-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPMANN",
        "first_name": "KATHERINE",
        "middle_name": "ANN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.