Individual provider Active NPI

Jordan Theron Knieff, ND

  • Naturopath
  • Minnetonka, MN
National Provider Identifier
1740823822
Registry record updated Feb 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
1107 Issued in MN
Practice address
14525 Highway 7 Ste 375
Minnetonka, MN 55345-3741
Phone
(320) 348-7424
NPI assigned
Oct 22, 2019
Last updated
Feb 25, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 1107 MN Primary

Addresses

Primary practice location

14525 Highway 7 Ste 375
Minnetonka, MN 55345-3741

Mailing address

14414 Stewart LN Apt 414
Minnetonka, MN 55345-5876
Phone (320) 630-0352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1107MNMDMidwife

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1740823822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14414 STEWART LN APT 414",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553455876",
            "telephone_number": "320-630-0352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14525 HIGHWAY 7 STE 375",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453741",
            "telephone_number": "320-348-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNIEFF",
        "first_name": "JORDAN",
        "middle_name": "THERON",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "MN",
            "license": "1107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.