Active NPI
Keith Michael Billstein, D.C.
- Chiropractor
- Anoka, MN
National Provider Identifier
1720100209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1983
- Practice address
- 3722 7TH Ave
Anoka, MN 55303-1465 - Phone
- (763) 427-7122
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1983 | MN | Primary |
Addresses
Primary practice location
3722 7TH Ave
Anoka, MN 55303-1465
Mailing address
3722 7TH Ave
Anoka, MN 55303-1465
Phone (763) 427-7122
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3710867 | Medicaid | MN | |
| 0G117BI | Other | MN | INDIVIDUAL BLUE CROSS |
| 625327000 | Other | MN | MN MEDICAL ASS.INDIVUAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3722 7TH Ave
Anoka, MN 55303-1465
Phone (763) 427-7122
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anoka-Andover Chiropractic, PA | Chiropractor | Current | Accepting new patients |
Locations
3722 7th Ave
Anoka, MN 55303
Phone (763) 312-1257
Organizations & group practices 1
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
- Anoka, MN
- NPI 1184766842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227657600000",
"number": "1720100209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3722 7TH AVE",
"city": "ANOKA",
"state": "MN",
"postal_code": "553031465",
"telephone_number": "763-427-7122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3722 7TH AVE",
"city": "ANOKA",
"state": "MN",
"postal_code": "553031465",
"telephone_number": "763-427-7122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILLSTEIN",
"first_name": "KEITH",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2008-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1983",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3710867",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL BLUE CROSS",
"identifier": "0G117BI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN MEDICAL ASS.INDIVUAL",
"identifier": "625327000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anoka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.