Individual provider Active NPI

Timothy Scott Klesk, D.C.

  • Chiropractor
  • Golden Valley, MN
National Provider Identifier
1689072837
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6011 Issued in MN
Practice address
701 Decatur Ave N Ste 102
Golden Valley, MN 55427-4363
Phone
(763) 332-2680
Fax
(763) 332-2685
NPI assigned
Dec 19, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6011 MN Primary

Addresses

Primary practice location

701 Decatur Ave N Ste 102
Golden Valley, MN 55427-4363

Mailing address

701 Decatur Ave N Ste 102
Golden Valley, MN 55427-4363
Phone (763) 332-2680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150325001524 MN Practitioner - Chiropractic 3971820242 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern University Feinberg Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forward Spine Center LLCGroup PAC ID 2062812019, 2 clinicians

Practice addresses (Care Compare)

701 Decatur Ave N
Suite 102
Golden Valley, MN 55427-4363
Phone (763) 332-2680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6011MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Spine Center LLC Chiropractor CurrentSince Aug 1, 2021 Accepting new patients
Broman Chiropractic Clinic PA Chiropractor CurrentSince Nov 1, 2017 Accepting new patients
Robbinsdale Chiropractic Chiropractor PastSince Feb 27, 2017 Accepting new patients
Andrea White PastSince Nov 1, 2017 Accepting new patients

Locations

7237 Forestview Ln N
Maple Grove, MN 55369
Phone (763) 420-8595

701 Decatur Ave N
Ste 102
Minneapolis, MN 55427
Phone (612) 599-6920

Organizations & group practices 4

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": "1418947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1689072837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 DECATUR AVE N STE 102",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274363",
            "telephone_number": "763-332-2680",
            "fax_number": "763-332-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 DECATUR AVE N STE 102",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274363",
            "telephone_number": "763-332-2680",
            "fax_number": "763-332-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLESK",
        "first_name": "TIMOTHY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-19",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.