Individual provider Active NPI

Khristian Constant Horak, DC

  • Chiropractor
  • Princeton, MN
National Provider Identifier
1548058217
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7336 Issued in MN
Practice address
209 Rum River Dr N Ste a
Princeton, MN 55371-1609
Phone
(763) 631-2225
NPI assigned
Apr 30, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7336 MN Primary

Addresses

Primary practice location

209 Rum River Dr N Ste a
Princeton, MN 55371-1609

Mailing address

209 Rum River Dr N Ste a
Princeton, MN 55371-1609
Phone (763) 631-2226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250506000206 MN Practitioner - Chiropractic 4688191455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

209 Rum River Dr N
Suite 2
Princeton, MN 55371-1630
Phone (763) 631-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7336MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Back and Neck Clinic PA Chiropractor CurrentSince May 1, 2025 Accepting new patients

Locations

209 Rum River Dr N
Ste 2
Princeton, MN 55371
Phone (763) 631-2225

Organizations & group practices 1

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": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1548058217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 RUM RIVER DR N STE A",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711609",
            "telephone_number": "763-631-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 RUM RIVER DR N STE A",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553711609",
            "telephone_number": "763-631-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORAK",
        "first_name": "KHRISTIAN",
        "middle_name": "CONSTANT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.