Organization Active NPI

Life Compass Chiropractic, S.C.

  • Chiropractor
  • Two Harbors, MN
National Provider Identifier
1447494174
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4467-012 Issued in WI
Legal business name
LIFE COMPASS CHIROPRACTIC, S.C.
Practice address
115 Waterfront Dr
Two Harbors, MN 55616-1525
Phone
(218) 290-0379
NPI assigned
Apr 24, 2009
Last updated
Jun 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Authorized official

Name
Dr. Kristen Lyn Klos-Maki, D.C.NPI 1598909228
Title
Doctor of Chiropractic
Phone
(218) 290-0379

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4467-012 WI Primary

Addresses

Primary practice location

115 Waterfront Dr
Two Harbors, MN 55616-1525

Mailing address

115 Waterfront Dr
Two Harbors, MN 55616-1525
Phone (218) 290-0379

National Provider Directory

National Provider Directory

Locations

1301 Rice Lake Rd
Duluth, MN 55811
Phone (218) 834-2400

115 Waterfront Dr
Two Harbors, MN 55616
Phone (218) 834-0888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1240531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306972800000",
    "number": "1447494174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 WATERFRONT DR",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161525",
            "telephone_number": "218-290-0379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WATERFRONT DR",
            "city": "TWO HARBORS",
            "state": "MN",
            "postal_code": "556161525",
            "telephone_number": "218-290-0379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE COMPASS CHIROPRACTIC, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-24",
        "last_updated": "2011-06-02",
        "status": "A",
        "authorized_official_last_name": "KLOS-MAKI",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "218-290-0379",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4467-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Two Harbors, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.