Individual provider Active NPI

Adam Stanley Klotzek, D.C., D.A.C.N.B.

  • Neurology Chiropractor
  • Minneapolis, MN
National Provider Identifier
1487619557
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH2685 Issued in SC
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

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CH2685MedicaidSC

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

LicenseStateTypeSpecialty
CH2685SCMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Mar 16, 2020 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.

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.

Verify at the official NPI Registry.