Kelly Jon Cripe, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4170 Issued in MN

Practice address

212 Cedar St
Monticello, MN 55362

Phone

(763) 295-2262

Fax

(763) 295-6282

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2001

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 and National Provider Directory roles.

• Dynamic Balance PC

  • Chiropractor
  • Monticello, MN
  • NPI 1730372509
  Medicare reassignment NPD Authorized official
• Minnesota Health and Wellness Clinics Inc.

  • Chiropractor
  • Faribault, MN
  • NPI 1942303912
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497873905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1638",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "553621638",
            "telephone_number": "763-295-2262",
            "fax_number": "763-295-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CEDAR ST",
            "city": "MONTICELLO",
            "state": "MN",
            "postal_code": "55362",
            "telephone_number": "763-295-2262",
            "fax_number": "763-295-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIPE",
        "first_name": "KELLY",
        "middle_name": "JON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "422L1MO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN HEALTH CARE PROGRAMS",
            "identifier": "4278429-00",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GIN",
            "identifier": "422L0MO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCMI",
            "identifier": "641442",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeanie Marguerite Cooke, LADC
• Stephanie Coon, CMT
• Shelbi Cowin, LICSW
• Craig Chiropractic and Kinesiology PC
• Shaun Paul Craig, DC
• Jessy Critelli, LMFT
• Cura of Monticello LLC
• David Thelen
• Neil De Cleene, DPT, ATC
• Lisa Marie Demarais, OPA-C, CST

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.