Organization Active NPI

Knafla Chiropractic Clinic, LTD

  • Sports Physician Chiropractor
  • Princeton, MN
National Provider Identifier
1720167117
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3105 Issued in MN
Legal business name
KNAFLA CHIROPRACTIC CLINIC, LTD
Practice address
900 S Rum River Dr Ste 102
Princeton, MN 55371-2239
Phone
(763) 389-5803
Fax
(763) 389-0063
NPI assigned
Nov 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Dr. Kathryn Marie Knafla, DC, CCSPNPI 1417943879
Title
Owner
Phone
(763) 389-5803

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 3105 MN Primary

Addresses

Primary practice location

900 S Rum River Dr Ste 102
Princeton, MN 55371-2239

Mailing address

900 S Rum River Dr Ste 102
Princeton, MN 55371-2239
Phone (763) 389-5803

Other identifiers 7

IdentifierTypeStateIssuer
1930718MedicaidMN
350045207OtherPALMETTO GBA RAILROAD
44-40199OtherMNMEDICA
4C215-KNOtherMNBLUE CROSS BLUE SHIELD OF MN GRP
991528100MedicaidMN
CC00463OtherMNCC/LANDMARK
4C216-KNOtherMNBLUE CROSS BLUE SHIELD OF MN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100201000557 MN Part B Supplier - Clinic/Group Practice 4688717515 Receives reassigned benefits from 1 practitioner
Practice locations: Princeton, MN

National Provider Directory

National Provider Directory

Locations

900 S Rum River Dr
Ste 102
Princeton, MN 55371
Phone (763) 389-5803

900 S Rum River Dr
Ste 101
Princeton, MN 55371
Phone (763) 389-5803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1720167117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 S RUM RIVER DR STE 102",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553712239",
            "telephone_number": "763-389-5803",
            "fax_number": "763-389-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S RUM RIVER DR STE 102",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553712239",
            "telephone_number": "763-389-5803",
            "fax_number": "763-389-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNAFLA CHIROPRACTIC CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "KNAFLA",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-389-5803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "3105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1930718",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD",
            "identifier": "350045207",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "44-40199",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN GRP",
            "identifier": "4C215-KN",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "991528100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CC/LANDMARK",
            "identifier": "CC00463",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF MN",
            "identifier": "4C216-KN",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.