Active NPI
Adam Stanley Klotzek, D.C., D.A.C.N.B.
- Neurology Chiropractor
- Minneapolis, MN
National Provider Identifier
1487619557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CH2685
- Practice address
- 1311 W 25TH St
Minneapolis, MN 55405-2620 - Phone
- (612) 374-3392
- Fax
- (612) 374-3477
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CH2685 | SC | Primary |
Addresses
Primary practice location
1311 W 25TH St
Minneapolis, MN 55405-2620
Mailing address
1311 W 25TH St
Minneapolis, MN 55405-2620
Phone (612) 374-3392
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH2685 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH2685 | SC | MD | Neurology Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Strong Health Chiropractic LLC | Neurology | Past | Accepting new patients |
| Aiken Integrated Medical, PC | Neurology | Past | Accepting new patients |
| Big Brain Concussion Recovery & Chiropractic PA | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- St. Louis Park, MN
- NPI 1821657545
-
- Neurology Chiropractor
- Aiken, SC
- NPI 1184710287
-
- Neurology Chiropractor
- Aiken, SC
- NPI 1184818593
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1487619557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1311 W 25TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554052620",
"telephone_number": "612-374-3392",
"fax_number": "612-374-3477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1311 W 25TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554052620",
"telephone_number": "612-374-3392",
"fax_number": "612-374-3477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLOTZEK",
"first_name": "ADAM",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "D.C., D.A.C.N.B.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "SC",
"license": "CH2685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "CH2685",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.