Kip A Smith, P.T.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6543 Issued in MN

Practice address

120 Central Ave N Ste C
Milaca, MN 56353-1571

Phone

(320) 362-7900

NPI assigned

Sep 21, 2006

Last updated

Jun 2, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Kip A Smith Professional name

Medicare fee-for-service enrollment

Enrolled in MN2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• St Raphaels Chiropractic Care Center PLLC

  • Chiropractor
  • Milaca, MN
  • NPI 1740816941
  Medicare reassignment NPD Authorized official
• St Raphaels Chiropractic Care Center PLLC

  • Physical Therapist
  • Milaca, MN
  • NPI 1215557228
  NPD Authorized official
• Institute for Orthopedics & Chiropractic, PLLC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1306173950
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1497854392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CENTRAL AVE N STE C",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531571",
            "telephone_number": "320-362-7900",
            "fax_number": "855-710-7495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTRAL AVE N STE C",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531571",
            "telephone_number": "320-362-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 1ST ST W",
            "address_2": "# 3",
            "address_purpose": "LOCATION",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531101",
            "country_code": "US",
            "telephone_number": "320-362-7900",
            "fax_number": "320-362-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KIP",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6543",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "9466",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306173950",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170123100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIP",
            "last_name": "SMITH",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rum River Health Services, Inc. (Rum River Health Services Mille Lacs County Jail Program)
• Debra Lynn Sahlstrom, CPM, LM
• Christine Rose Schlenker, D.C.
• Select Chiropractic Inc.
• Erin Simonson
• Miranda Kay Sorenson
• St Raphaels Chiropractic Care Center PLLC
• St Raphaels Chiropractic Care Center PLLC
• Sunrise Village Business LLC (Sunrise Village of Milaca)
• Swan's Transportation

• Chiropractor in Milaca, MN
• Providers in Milaca, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.