Charles Anton Kinzer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1750 Issued in MN

Practice address

402 Red River Ave N Ste 3
Cold Spring, MN 56320-1523

Phone

(320) 685-8284

Fax

(320) 685-3740

NPI assigned

Sep 14, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gerhardson Chiropractic LLCGroup PAC ID 1951660513, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gerhardson Chiropractic LLC

  • Chiropractor
  • Saint Cloud, MN
  • NPI 1396259883
  Medicare reassignment Care Compare group NPD
• Cold Spring Chiropractic Center, LTD

  • Chiropractor
  • Cold Spring, MN
  • NPI 1609908946
  Authorized official Same address or phone
• Endgame LLC

  • Clinic/Center
  • Cold Spring, MN
  • NPI 1851116685
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649375262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 RED RIVER AVE N STE 3",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563201523",
            "telephone_number": "320-685-8284",
            "fax_number": "320-685-3740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 RED RIVER AVE N STE 3",
            "city": "COLD SPRING",
            "state": "MN",
            "postal_code": "563201523",
            "telephone_number": "320-685-8284",
            "fax_number": "320-685-3740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINZER",
        "first_name": "CHARLES",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacy, LLC (Riversedge)
• Emily Johannes, MSW, LICSW
• Julie Humbert MSW Licsw Inc
• Alaina Just
• Suzanne Kelly, CNP
• Melissa Jane Kron, LMFT
• Megan Ann Kropuenske, PHARMD
• Kyler Meers MSW Licsw, Inc.
• Lakes Optometry Clinic PLLC (LAKES Eye Clinic)
• Cassandra Michelle Lehn, P.A.

• Chiropractor in Cold Spring, MN
• Providers in Cold Spring, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.