Individual provider Active NPI

Madeline Klesk, D.C.

  • Chiropractor
  • Golden Valley, MN
National Provider Identifier
1720485931
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5995 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 3, 2014
Last updated
Nov 6, 2025By the provider in NPPES
Sex
Female
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5995 MN Primary
Acupuncturist 171100000X 980 MN

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
I20141231001306 MN Practitioner - Chiropractic 3971826751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 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
980MNMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Forward Spine Center LLC Chiropractor CurrentSince Mar 8, 2021 Accepting new patients
Rooted Wellness Chiropractic, PLLC Chiropractor CurrentSince Jul 13, 2025 Accepting new patients
Jo G Theisen DC, PA Chiropractor CurrentSince Dec 2, 2014 Accepting new patients

Locations

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

8465 W Broadway Ave
Minneapolis, MN 55445
Phone (763) 424-7750

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1417564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1720485931",
    "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": "MADELINE",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-03",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5995",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "980",
            "primary": false
        }
    ],
    "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.