Organization Active NPI

Caspers Chiropractic Center of Shakopee PC

  • Chiropractor
  • Shakopee, MN
National Provider Identifier
1366910440
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CASPERS CHIROPRACTIC CENTER OF SHAKOPEE PC
Practice address
1275 Ramsey St Ste 600
Shakopee, MN 55379-3138
Phone
(952) 977-9933
NPI assigned
Nov 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Authorized official

Name
Beth Caspers
Title
Office Manager
Phone
(320) 587-2292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1275 Ramsey St Ste 600
Shakopee, MN 55379-3138

Mailing address

103 3Rd Ave NW
Hutchinson, MN 55350-1650
Phone (320) 587-2292

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190528001774 MN Part B Supplier - Clinic/Group Practice 2668715012 Receives reassigned benefits from 2 practitioners
Practice locations: Shakopee, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558483200000",
    "number": "1366910440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 3RD AVE NW",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553501650",
            "telephone_number": "320-587-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 RAMSEY ST STE 600",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793138",
            "telephone_number": "952-977-9933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASPERS CHIROPRACTIC CENTER OF SHAKOPEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-07",
        "last_updated": "2019-05-22",
        "status": "A",
        "authorized_official_last_name": "CASPERS",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-587-2292"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shakopee, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; 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.