Organization Active NPI

Dr. Kimberly Berkus, P.C.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1740480094
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DR. KIMBERLY BERKUS, P.C.
Practice address
2101 Hennepin Ave S
Suite 101
Minneapolis, MN 55405-2769
Phone
(612) 870-6100
Fax
(612) 870-6286
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Dr. Kimberly Berkus, D.C.NPI 1922129527
Title
President
Phone
(612) 870-6100

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MN Primary

Addresses

Primary practice location

2101 Hennepin Ave S
Suite 101
Minneapolis, MN 55405-2769

Mailing address

2101 Hennepin Ave S
Suite 101
Minneapolis, MN 55405-2769
Phone (612) 870-6100

Other identifiers 1

IdentifierTypeStateIssuer
112L2BEOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

2101 Hennepin Ave
Ste 101
Minneapolis, MN 55405
Phone (612) 356-2872

Practitioners & affiliated clinicians

Practitioners 2

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": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1740480094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 HENNEPIN AVE S",
            "address_2": "SUITE 101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052769",
            "telephone_number": "612-870-6100",
            "fax_number": "612-870-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 HENNEPIN AVE S",
            "address_2": "SUITE 101",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554052769",
            "telephone_number": "612-870-6100",
            "fax_number": "612-870-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIMBERLY BERKUS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "BERKUS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-870-6100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "112L2BE",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.