Active NPI
David H Klapperich, CRNA
- Certified Registered Nurse Anesthetist
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- R078249-6
- Practice address
- 2215 Park Ave
Minneapolis, MN 55404-3711 - Phone
- (612) 775-8861
- Fax
- (952) 442-3620
- NPI assigned
- Sep 14, 2006
- Last updated
- Nov 29, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 209007845 | IL | |
| Certified Registered Nurse Anesthetist | 367500000X | R078249-6 | MN | Primary |
Addresses
Primary practice location
2215 Park Ave
Minneapolis, MN 55404-3711
Mailing address
400 E 10TH St
Waconia, MN 55387-4552
Phone (952) 442-9770
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171256 | Other | UCARE | |
| 2001729 | Other | MEDICA | |
| HP57497 | Other | HEALTH PARTNERS | |
| 927742100 | Medicaid | MN | |
| 539S1KL | Other | MN | BLUE CROSS BLUE SHIELD |
| 967551010905 | Other | PREFERRED ONE |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R078249-6 | MN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southdale Anesthesiologists, LLC | Current | Accepting new patients | |
| Metropolitan Anesthesia Network, LLP | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Certified Anesthesia Care, Co. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mankato Anesthesia Associates LTD | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
9801 DuPont Ave S
Ste 100
Bloomington, MN 55431
4100 Minnesota Dr
Ste 200
Edina, MN 55435
Phone (952) 996-9600
2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800
4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786
6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
400 10th St E
Waconia, MN 55387
Organizations & group practices 4
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.
-
dba Certified Anesthesia Care, Inc
- Certified Registered Nurse Anesthetist
- Stillwater, MN
- NPI 1699736348
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Plymouth, MN
- NPI 1558314427
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Edina, MN
- NPI 1154381804
-
- Anesthesiology Physician
- Mankato, MN
- NPI 1124052436
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511913600000",
"number": "1750486528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E 10TH ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553874552",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 PARK AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043711",
"telephone_number": "612-775-8861",
"fax_number": "952-442-3620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLAPPERICH",
"first_name": "DAVID",
"middle_name": "H",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2017-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IL",
"license": "209007845",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MN",
"license": "R078249-6",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "171256",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "2001729",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP57497",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "927742100",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "539S1KL",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "967551010905",
"state": null
}
],
"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 Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.