Individual provider Active NPI

Andrew Kinach, DC

  • Chiropractor
  • Excelsior, MN
National Provider Identifier
1821744434
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6958 Issued in MN
Practice address
261 School Ave Ste 310
Excelsior, MN 55331-1979
Phone
(705) 257-6968
NPI assigned
Feb 23, 2022
Last updated
Apr 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6958 MN Primary

Addresses

Primary practice location

261 School Ave Ste 310
Excelsior, MN 55331-1979

Mailing address

571 Oakhill Cir
Chaska, MN 55318-2867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613001532 MN Practitioner - Chiropractic 0143608604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

23505 Smithtown Rd
Suite 100
Excelsior, MN 55331-4542
Phone (612) 217-1159

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kinach Chiropractic LLC CurrentSince Mar 14, 2022 Accepting new patients

Locations

261 School Ave
Ste 310
Excelsior, MN 55331
Phone (705) 257-6968

23505 Smithtown Rd
Ste 100
Shorewood, MN 55331
Phone (952) 426-0874

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1821744434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 OAKHILL CIR",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 SCHOOL AVE STE 310",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553311979",
            "telephone_number": "705-257-6968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINACH",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.

Verify at the official NPI Registry.