Active NPI
Kyle Freeman, D.C.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1568900314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6345
- Practice address
- 464 Hamline Ave S
Saint Paul, MN 55105-2945 - Phone
- (651) 644-7207
- Fax
- (651) 644-6653
- NPI assigned
- Feb 1, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6345 | MN | Primary |
Addresses
Primary practice location
464 Hamline Ave S
Saint Paul, MN 55105-2945
Mailing address
464 Hamline Ave S
Saint Paul, MN 55105-2945
Phone (651) 644-7207
Other practice location 1
4801 1/2 Nicollet Ave
Minneapolis, MN 55419-5510
Phone (612) 354-7121
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1568900314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 HAMLINE AVE S",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052945",
"telephone_number": "651-644-7207",
"fax_number": "651-644-6653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 HAMLINE AVE S",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052945",
"telephone_number": "651-644-7207",
"fax_number": "651-644-6653"
}
],
"practiceLocations": [
{
"address_1": "4801 1/2 Nicollet Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554195510",
"country_code": "US",
"telephone_number": "612-354-7121",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FREEMAN",
"first_name": "KYLE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-01",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.