Individual provider Active NPI

Kai Michael Badua, DC

  • Chiropractor
  • Elk River, MN
National Provider Identifier
1376357210
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7320 Issued in MN
Practice address
18157 Carson CT NW Ste C
Elk River, MN 55330-3611
Phone
(763) 325-8734
NPI assigned
Feb 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7320 MN Primary

Addresses

Primary practice location

18157 Carson CT NW Ste C
Elk River, MN 55330-3611

Mailing address

18157 Carson CT NW Ste C
Elk River, MN 55330-3611
Phone (763) 325-8734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250604002689 MN Practitioner - Chiropractic 2769991363 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Directcare Chiropractic, PA Chiropractor CurrentSince Mar 29, 2025 Accepting new patients

Locations

18157 Carson Ct NW
Ste C
Elk River, MN 55330
Phone (763) 291-6214

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.

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1376357210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18157 CARSON CT NW STE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553303611",
            "telephone_number": "763-325-8734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18157 CARSON CT NW STE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553303611",
            "telephone_number": "763-325-8734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADUA",
        "first_name": "KAI",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.