Active NPI
Kelley Hagenbuch, D.C.
- Chiropractor
- Taylors Falls, MN
National Provider Identifier
1659750420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2563
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2563 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Firestone Chiropractic Limited | Chiropractor | Current | Accepting new patients |
| Weierke Chiropractic PA | Chiropractor | Past | 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.
-
- Chiropractor
- Firestone, CO
- NPI 1841997475
-
- Exclusive Provider Organization
- Oak Park Heights, MN
- NPI 1174826663
-
- Chiropractor
- Taylors Falls, MN
- NPI 1568876993
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.