Active NPI
Michael Joseph Kastner, DC
- Chiropractor
- Elbow Lake, MN
National Provider Identifier
1770686396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2721
- Practice address
- 17 South Central Ave
Elbow Lake, MN 56531 - Phone
- (218) 685-4544
- NPI assigned
- Sep 7, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2721 | MN | Primary |
Addresses
Primary practice location
17 South Central Ave
Elbow Lake, MN 56531
Mailing address
PO Box 145
Elbow Lake, MN 56531
Phone (218) 685-4544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 503528700 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17 Central Ave N
Elbow Lake, MN 56531-4103
Phone (218) 685-4544
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2721 | MN | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kastner Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
17 Central Ave S
Elbow Lake, MN 56531
Phone (218) 685-4544
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Elbow Lake, MN
- NPI 1194990606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1770686396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 145",
"city": "ELBOW LAKE",
"state": "MN",
"postal_code": "56531",
"telephone_number": "218-685-4544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 SOUTH CENTRAL AVE",
"city": "ELBOW LAKE",
"state": "MN",
"postal_code": "56531",
"telephone_number": "218-685-4544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTNER",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2721",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "503528700",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elbow Lake, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.