Individual provider Active NPI

Kyle G Volker, D.C.

  • Chiropractor
  • Cambridge, MN
National Provider Identifier
1356686372
Registry record updated Dec 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5719 Issued in MN
Practice address
137 2ND Ave SW
Cambridge, MN 55008-1502
Phone
(763) 689-2462
Fax
(763) 689-1688
NPI assigned
Dec 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5719 MN Primary

Addresses

Primary practice location

137 2ND Ave SW
Cambridge, MN 55008-1502

Mailing address

137 2ND Ave SW
Cambridge, MN 55008-1502
Phone (763) 689-2462

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121227000257 MN Practitioner - Chiropractic 4082867049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Health Clinics PAGroup PAC ID 8022045178, 4 clinicians

Practice addresses (Care Compare)

236 2ND Ave SW
Cambridge, MN 55008-1503
Phone (763) 689-2462

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5719MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Volker Sports & Physical Medicine PLLC CurrentSince Nov 24, 2025 Accepting new patients

Locations

236 2nd Ave SW
Cambridge, MN 55008
Phone (763) 689-2462

Organizations & group practices 2

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": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354492800000",
    "number": "1356686372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 2ND AVE SW",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081502",
            "telephone_number": "763-689-2462",
            "fax_number": "763-689-1688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 2ND AVE SW",
            "city": "CAMBRIDGE",
            "state": "MN",
            "postal_code": "550081502",
            "telephone_number": "763-689-2462",
            "fax_number": "763-689-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKER",
        "first_name": "KYLE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-03",
        "last_updated": "2012-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cambridge, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2012; 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.