Jordan Jace Knowlton-Key, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

6447 Issued in MN

Practice address

2501 W 84TH St
Bloomington, MN 55431-1602

Phone

(952) 888-4777

NPI assigned

Jan 17, 2018

Last updated

Jan 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

• Sweere Clinic LLC

  • Clinic/Center
  • Bloomington, MN
  • NPI 1942778097
  NPD

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516147200000",
    "number": "1649788233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8517 THOMAS AVE S",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311622",
            "telephone_number": "605-280-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 84TH ST",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554311602",
            "telephone_number": "952-888-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLTON-KEY",
        "first_name": "JORDAN",
        "middle_name": "JACE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-17",
        "last_updated": "2018-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "6447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Klouda, RD
• Kristy Kluver, FNP-C
• Jonathan Kluxdal, DDS
• Oji Knight
• Whitney Lynn Knight
• Patrick Koch, MA
• Stephanie Lynn Koch
• Sara Beth Koepp, PT
• Fathi Abdullahi Kofiro, LICSW
• Chad M Kofoed, DPT

• Sports Physician Chiropractor in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Sports Physician Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; 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.