Jeffrey Kenneth Klein, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4184 Issued in MN

Practice address

11468 Marketplace Dr N
Suite 500
Champlin, MN 55316-3872

Phone

(763) 421-2710

Fax

(763) 421-0687

NPI assigned

Nov 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Back 2 Health Chiropractic, P.a.

  • Chiropractor
  • Monticello, MN
  • NPI 1265768220
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1417023706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CEDAR ST",
            "address_2": "SUITE 500",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553624663",
            "telephone_number": "763-421-2710",
            "fax_number": "763-421-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11468 MARKETPLACE DR N",
            "address_2": "SUITE 500",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163872",
            "telephone_number": "763-421-2710",
            "fax_number": "763-421-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "JEFFREY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHCP PROVIDER NUMBER",
            "identifier": "275415100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Megan Joyce Keller
• Anne Maragret Kern, MD
• Elizabeth Buyse Kessler, D.C.
• Samia Kewden
• Elizabeth Cleary Kingstedt, CRNA
• Nathan Klein, LSW
• Nicole Anne Koch, MA, LPCC
• Rebecca E. Kuehn, PA-C
• Allison Rae Kummet
• Kurt a Bender DDS PA

• Chiropractor in Champlin, MN
• Providers in Champlin, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.