Active NPI
Bennie Joe Kuhlmann, DC
- Chiropractor
- Clear Lake, MN
National Provider Identifier
1366063190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6619
- Practice address
- 11567 42ND St SE
Clear Lake, MN 55319-9202 - Phone
- (612) 222-6002
- NPI assigned
- May 4, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 6619 | MN | Primary |
Addresses
Primary practice location
11567 42ND St SE
Clear Lake, MN 55319-9202
Mailing address
11567 42ND St SE
Clear Lake, MN 55319-9202
Phone (612) 222-2002
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6619 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucky Cat Acupuncture and Herbal Medicine | Past | Accepting new patients |
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.
-
- Acupuncturist
- Minneapolis, MN
- NPI 1295038008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1366063190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11567 42ND ST SE",
"city": "CLEAR LAKE",
"state": "MN",
"postal_code": "553199202",
"telephone_number": "612-222-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11567 42ND ST SE",
"city": "CLEAR LAKE",
"state": "MN",
"postal_code": "553199202",
"telephone_number": "612-222-6002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUHLMANN",
"first_name": "BENNIE",
"middle_name": "JOE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-05-04",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clear Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.