Organization Active NPI

Kari Clinic of Chiropractic, P.a.

  • Chiropractor
  • Forest Lake, MN
National Provider Identifier
1619982022
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3134 Issued in MN
Legal business name
KARI CLINIC OF CHIROPRACTIC, P.A.
Practice address
368 Lake St S
Forest Lake, MN 55025-2626
Phone
(651) 464-1063
Fax
(651) 982-6034
NPI assigned
Jul 31, 2006
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. Mark W Kari, D.C.NPI 1568479996
Title
President
Phone
(651) 464-1063

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3134 MN Primary

Addresses

Primary practice location

368 Lake St S
Forest Lake, MN 55025-2626

Mailing address

368 Lake St S
Forest Lake, MN 55025-2626
Phone (651) 464-1063

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061002000481 MN Part B Supplier - Clinic/Group Practice 4688679350 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Lake, MN

National Provider Directory

National Provider Directory

Locations

824 Lake St S
Forest Lake, MN 55025
Phone (651) 464-1063

368 Lake St S
Forest Lake, MN 55025
Phone (651) 464-1063

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619982022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 LAKE ST S",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252626",
            "telephone_number": "651-464-1063",
            "fax_number": "651-982-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 LAKE ST S",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550252626",
            "telephone_number": "651-464-1063",
            "fax_number": "651-982-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARI CLINIC OF CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARI",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-464-1063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Lake, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.