Active NPI
Perry Nicholas Kranz, D.C.
- Chiropractor
- Arden Hills, MN
National Provider Identifier
1598804049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1619
- Practice address
- 3553 Lexington Ave N
Arden Hills, MN 55126-8017 - Phone
- (651) 484-1000
- Fax
- (651) 484-2663
- NPI assigned
- Feb 5, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 1619 | MN | Primary |
Addresses
Primary practice location
3553 Lexington Ave N
Arden Hills, MN 55126-8017
Mailing address
3553 Lexington Ave N
Arden Hills, MN 55126-8017
Phone (651) 484-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24692KR | Other | MN | BCBS |
| 230436 | Other | MN | ACN |
| 411489565 | Other | MN | HEALTH SEVICE MANAGEMENT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050608000719 | MN | Practitioner - Chiropractic | 8628011806 | Practice locations: Shoreview, MN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3450 Lexington Ave N
Suite 104
Shoreview, MN 55126-8163
Phone (651) 484-1000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1619 | MN | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1598804049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3553 LEXINGTON AVE N",
"city": "ARDEN HILLS",
"state": "MN",
"postal_code": "551268017",
"telephone_number": "651-484-1000",
"fax_number": "651-484-2663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3553 LEXINGTON AVE N",
"city": "ARDEN HILLS",
"state": "MN",
"postal_code": "551268017",
"telephone_number": "651-484-1000",
"fax_number": "651-484-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRANZ",
"first_name": "PERRY",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-05",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1619",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "24692KR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "230436",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH SEVICE MANAGEMENT",
"identifier": "411489565",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arden Hills, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.