Active NPI
Daniel G Kiefat, DC
- Chiropractor
- Grand Forks, ND
National Provider Identifier
1629157458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 726
- Practice address
- 2525 Demers Ave
Suite B
Grand Forks, ND 58201 - Phone
- (701) 746-5977
- Fax
- (701) 746-5976
- NPI assigned
- Nov 3, 2006
- 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 | 726 | ND | Primary |
Addresses
Primary practice location
2525 Demers Ave
Suite B
Grand Forks, ND 58201
Mailing address
2525 Demers Ave
Suite B
Grand Forks, ND 58201
Phone (701) 746-5977
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12742 | Medicaid | ND | |
| 23135 | Other | BCBS ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2525 Demers Ave
Suite B
Grand Forks, ND 58201-8622
Phone (701) 746-5977
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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.
-
- Chiropractor
- Grand Forks, ND
- NPI 1477739795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318809600000",
"number": "1629157458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 DEMERS AVE",
"address_2": "SUITE B",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-746-5977",
"fax_number": "701-746-5976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 DEMERS AVE",
"address_2": "SUITE B",
"city": "GRAND FORKS",
"state": "ND",
"postal_code": "58201",
"telephone_number": "701-746-5977",
"fax_number": "701-746-5976"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIEFAT",
"first_name": "DANIEL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2011-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12742",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ND",
"identifier": "23135",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Forks, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.