Active NPI
Kevin Matthew Quaas, DC
- Chiropractor
- White Bear Lake, MN
National Provider Identifier
1427126176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3314
- Practice address
- 4436 Hwy 61
White Bear Lake, MN 55110-3720 - Phone
- (651) 426-5459
- Fax
- (651) 426-1329
- NPI assigned
- Dec 1, 2006
- 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 | 3314 | MN | Primary |
Addresses
Primary practice location
4436 Hwy 61
White Bear Lake, MN 55110-3720
Mailing address
4436 Hwy 61
White Bear Lake, MN 55110-3720
Phone (651) 426-5459
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154019000 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4651 White Bear Pkwy
White Bear Lake, MN 55110-3300
Phone (651) 426-5456
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kevin M Quaas Inc | Chiropractor | Current | Accepting new patients |
| R.J. Sass, Inc. | Chiropractor | Past | Accepting new patients |
Locations
4436 Highway 61 N
White Bear Lk, MN 55110
Phone (651) 426-5459
4651 White Bear Pkwy
White Bear Lk, MN 55110
Phone (651) 426-5456
Organizations & group practices 2
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": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427126176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4436 HWY 61",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103720",
"telephone_number": "651-426-5459",
"fax_number": "651-426-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4436 HWY 61",
"city": "WHITE BEAR LAKE",
"state": "MN",
"postal_code": "551103720",
"telephone_number": "651-426-5459",
"fax_number": "651-426-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUAAS",
"first_name": "KEVIN",
"middle_name": "MATTHEW",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3314",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154019000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in White Bear Lake, MN
- Zachary Vincent Post, DC
- Premise Health of Minnesota Medical PC (Pipe Trades Services MN Family Health & Wellness Centers)
- Ernest Joseph Price, STUDENT
- Psychological Consultants of So MN PA
- Psychological&Behavioralconsultantspa
- Quast Clinic LLC
- Sean Cameron Quast, D.C.
- R.J. Sass, Inc. (Sass Chiropractic Center)
- Sharon Renae Radebaugh, PHARMACIST
- Ava Radziwill
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.