Active NPI
Aaron Kubal, DC
- Chiropractor
- Excelsior, MN
National Provider Identifier
1366019341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6813
- Practice address
- 5620 Vine Hill Rd
Excelsior, MN 55331-9100 - Phone
- (612) 414-0658
- NPI assigned
- Jun 8, 2021
- 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 | 6813 | MN | Primary |
Addresses
Primary practice location
5620 Vine Hill Rd
Excelsior, MN 55331-9100
Mailing address
5620 Vine Hill Rd
Excelsior, MN 55331-9100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6813 | MN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1366019341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 VINE HILL RD",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553319100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 VINE HILL RD",
"city": "EXCELSIOR",
"state": "MN",
"postal_code": "553319100",
"telephone_number": "612-414-0658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUBAL",
"first_name": "AARON",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "6813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Excelsior, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.