St Raphaels Chiropractic Care Center PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ST RAPHAELS CHIROPRACTIC CARE CENTER PLLC

Practice address

120 Central Ave N Ste C
Milaca, MN 56353-1571

Phone

(320) 362-7900

NPI assigned

Mar 19, 2020

Last updated

Jun 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kip SmithNPI 1497854392

Title

Owner

Phone

(507) 261-7202

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• St Raphaels Chiropractic Care Center PLLC

  • Physical Therapist
  • Milaca, MN
  • NPI 1215557228

  O20200402002767

  Same enrollment

Tax ID family

St Raphaels Chiropractic Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• St Raphaels Chiropractic Care Center PLLC

  • Physical Therapist
  • Milaca, MN
  • NPI 1215557228
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kip A Smith, P.T.

  • Chiropractor
  • Milaca, MN
  • NPI 1497854392
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1740816941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CENTRAL AVE N STE C",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531571",
            "telephone_number": "320-362-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CENTRAL AVE N STE C",
            "city": "MILACA",
            "state": "MN",
            "postal_code": "563531571",
            "telephone_number": "320-362-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 1st St W # 3",
            "address_purpose": "LOCATION",
            "city": "Milaca",
            "state": "MN",
            "postal_code": "563531101",
            "country_code": "US",
            "telephone_number": "320-362-7900",
            "fax_number": "320-362-7904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ST RAPHAELS CHIROPRACTIC CARE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-19",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-261-7202",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170123100",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Milaca",
            "affiliation": "N",
            "address_1": "115 1st St W # 3",
            "city": "Milaca",
            "state": "MN",
            "country_code": "US",
            "postal_code": "563531101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Select Chiropractic Inc.
• Erin Simonson
• Kip A Smith, P.T.
• Miranda Kay Sorenson
• St Raphaels Chiropractic Care Center PLLC
• Sunrise Village Business LLC (Sunrise Village of Milaca)
• Swan's Transportation
• Annaliese Thiegs, LPCC
• Thrifty Drug Stores Inc (Thrifty White Pharmacy #767)
• Katie Vavreck

• Chiropractor in Milaca, MN
• Providers in Milaca, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.