Individual provider Active NPI

Eric J Kiesau, D.C.

  • Chiropractor
  • La Crescent, MN
National Provider Identifier
1376511410
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4226 Issued in MN
Practice address
306 Main St, Ste 1
La Crescent, MN 55947-1828
Phone
(507) 895-6015
Fax
(507) 895-6345
NPI assigned
Mar 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4226 MN Primary

Addresses

Primary practice location

306 Main St, Ste 1
La Crescent, MN 55947-1828

Mailing address

306 Main St, Ste 1
La Crescent, MN 55947-1828

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040729000767 MN Practitioner - Chiropractic 9335119015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wood Family Chiropractic PCGroup PAC ID 9537107511, 2 clinicians

Practice addresses (Care Compare)

120 Midnite St
La Crescent, MN 55947-1282
Phone (507) 895-2225

566 Bluff Dr
La Crescent, MN 55947-1282

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4226MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wood Family Chiropractic PC Chiropractor CurrentSince Jan 6, 2026 Accepting new patients
Carr Chiropractic Clinics PC Chiropractor PastSince Jul 1, 2006 Accepting new patients
La Crescent Chiropractic, P.C. Chiropractor PastSince Jul 15, 2002 Accepting new patients

Locations

120 Midnight St
La Crescent, MN 55947
Phone (507) 895-2225

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376511410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 MAIN ST, STE 1",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 MAIN ST, STE 1",
            "city": "LA CRESCENT",
            "state": "MN",
            "postal_code": "559471828",
            "telephone_number": "507-895-6015",
            "fax_number": "507-895-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIESAU",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crescent, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.