Organization Active NPI

Kimbrell Chiropractic Health Center PA

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1619046133
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KIMBRELL CHIROPRACTIC HEALTH CENTER PA
Practice address
4826 Chicago Ave S
Suite 207
Minneapolis, MN 55417
Phone
(612) 824-4788
Fax
(612) 824-7185
NPI assigned
Nov 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Gray Kimbrell, DCNPI 1396768164
Title
President
Phone
(612) 824-4788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

4826 Chicago Ave S
Suite 207
Minneapolis, MN 55417

Mailing address

4826 Chicago Ave S
Suite 207
Minneapolis, MN 55417
Phone (612) 824-4788

National Provider Directory

National Provider Directory

Locations

5110 Edina Industrial Blvd
Edina, MN 55439
Phone (952) 831-5015

4826 Chicago Ave
Ste 202
Minneapolis, MN 55417
Phone (612) 824-4788

4826 Chicago Ave
Ste 207
Minneapolis, MN 55417
Phone (612) 824-4788

7801 E Bush Lake Rd
Ste 290
Minneapolis, MN 55439
Phone (952) 831-5015

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619046133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4826 CHICAGO AVE S",
            "address_2": "SUITE 207",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55417",
            "telephone_number": "612-824-4788",
            "fax_number": "612-824-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4826 CHICAGO AVE S",
            "address_2": "SUITE 207",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55417",
            "telephone_number": "612-824-4788",
            "fax_number": "612-824-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBRELL CHIROPRACTIC HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIMBRELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "GRAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-824-4788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.