Heaven's Gate Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MN2593 Issued in MN

Legal business name

HEAVEN'S GATE CHIROPRACTIC, PC

Doing business as

Dr. Kroll's Health Solutions

Practice address

305 Bush St
Red Wing, MN 55066-2527

Phone

(651) 388-4378

Fax

(651) 388-4385

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brian Anthony Kroll, DCNPI 1487779534

Title

Owner

Phone

(651) 388-4378

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Dr. Kroll's Health Solutions 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, and the practitioner matching its NPPES authorized official.

• Brian Anthony Kroll, D.C.

  • Chiropractor
  • Red Wing, MN
  • NPI 1487779534
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1467676346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 BUSH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662527",
            "telephone_number": "651-388-4378",
            "fax_number": "651-388-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 BUSH ST",
            "city": "RED WING",
            "state": "MN",
            "postal_code": "550662527",
            "telephone_number": "651-388-4378",
            "fax_number": "651-388-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVEN'S GATE CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "KROLL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-388-4378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "MN2593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "382R1HE",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "843828500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Kroll's Health Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Madelyn Hardyman
• Paul David Hartzheim, M.D.
• Alex O'Brien Hasek, PHARMD.
• Jawaad Hassan, M.D.
• Healthways Integrative Medicine PC
• Seth Robert Heckman, MD
• Dann K Heilman, MD
• Heidi Marie Heimer, ARNP
• Katrina Marie Heller
• Sarah Sue Michelle Helm, D.O.

• Chiropractor in Red Wing, MN
• Providers in Red Wing, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.