Individual provider Active NPI

Kelley Hagenbuch, D.C.

  • Chiropractor
  • Taylors Falls, MN
National Provider Identifier
1659750420
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2563 Issued in MN
Practice address
397 Bench St
Taylors Falls, MN 55084-0237
Phone
(651) 465-3811
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2563 MN Primary

Addresses

Primary practice location

397 Bench St
Taylors Falls, MN 55084-0237

Mailing address

PO Box 237
Taylors Falls, MN 55084-0237
Phone (651) 465-3811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2563MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Firestone Chiropractic Limited Chiropractor CurrentSince Feb 19, 2023 Accepting new patients
Weierke Chiropractic PA Chiropractor PastSince Jun 23, 2024 Accepting new patients
Taylors Falls Chiropractic Office LTD Past Accepting new patients

Locations

8310 Colorado Blvd
Ste 700
Firestone, CO 80504
Phone (303) 485-1922

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1659750420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 237",
            "city": "TAYLORS FALLS",
            "state": "MN",
            "postal_code": "550840237",
            "telephone_number": "651-465-3811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "397 BENCH ST",
            "city": "TAYLORS FALLS",
            "state": "MN",
            "postal_code": "550840237",
            "telephone_number": "651-465-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGENBUCH",
        "first_name": "KELLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylors Falls, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.