Kiekhoefer Chiropractic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

2666 Issued in MN

Legal business name

KIEKHOEFER CHIROPRACTIC LLC

Practice address

8619 W Point Douglas Rd S
Suite 110
Cottage Grove, MN 55016-4162

Phone

(651) 458-0094

NPI assigned

Jan 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary Allen Kiekhoefer, D.C.NPI 1083767719

Title

Owner

Phone

(651) 458-0094

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kiekhoefer Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Allen Kiekhoefer, DC

  • Sports Physician Chiropractor
  • Cottage Grove, MN
  • NPI 1083767719
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427932800000",
    "number": "1457536872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4781 STIMSON TRL",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551298411",
            "telephone_number": "651-458-0094",
            "fax_number": "651-251-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 W POINT DOUGLAS RD S",
            "address_2": "SUITE 110",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550164162",
            "telephone_number": "651-458-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIEKHOEFER CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2015-04-02",
        "status": "A",
        "authorized_official_last_name": "KIEKHOEFER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-458-0094",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "2666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "673228300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kiekhoefer Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph R.F. Kalugdan, MD
• Aaron Joshua Kamara, ADN, RN, LPN
• Mariyam Karrar, BDS, DDS
• David Gene Kelley, DDS
• James A Kerr, DDS
• Gary Allen Kiekhoefer, DC
• Kindcare Living LLC
• King David Home Health Care
• King David Home Health Care Services
• King David Home Health Care Services LLC

• Health Service Clinic/Center in Cottage Grove, MN
• Providers in Cottage Grove, MN by specialty
• Health Service Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2015; 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.

Verify at the official NPI Registry.