Active NPI
Danielle Klick, D.C.
- Chiropractor
- Edina, MN
National Provider Identifier
1437581022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5764
- Practice address
- 4444 W 76TH St
Suite 300
Edina, MN 55435-5173 - Phone
- (612) 481-4457
- Fax
- (952) 516-5175
- NPI assigned
- Aug 6, 2013
- Last updated
- Jan 6, 2014
- Sex
- Female
- 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 | 5764 | MN | Primary |
Addresses
Primary practice location
4444 W 76TH St
Suite 300
Edina, MN 55435-5173
Mailing address
8654 Poplar Bridge Curv
Bloomington, MN 55437-1441
Phone (612) 481-4457
Other names 1
- Danielle Hargreaves
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 942 | MN | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shakopee Mdewakanton Sioux Community | Chiropractor | Current | Accepting new patients |
Locations
2360 Sioux Trl NW
Prior Lake, MN 55372
Phone (952) 233-2886
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shakopee Dakota Clinic
- Family Medicine Physician
- Prior Lake, MN
- NPI 1013933381
Chiropractor
-
- Chiropractor
- Edina, MN
- NPI 1144641978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1437581022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8654 POPLAR BRIDGE CURV",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554371441",
"telephone_number": "612-481-4457",
"fax_number": "952-516-5175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 W 76TH ST",
"address_2": "SUITE 300",
"city": "EDINA",
"state": "MN",
"postal_code": "554355173",
"telephone_number": "612-481-4457",
"fax_number": "952-516-5175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLICK",
"first_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "HARGREAVES",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.