Costanzo Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

COSTANZO CHIROPRACTIC

Doing business as

Fox and Fern Chiropractic

Practice address

612 5TH St NW
Bemidji, MN 56601-2915

Phone

(303) 656-5752

NPI assigned

Jan 19, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Kristin Costanzo, DCNPI 1619475746

Title

Chiropractor

Phone

(218) 444-8832

Specialties & licenses 1

Addresses

Other names 1

• Fox and Fern Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristin Costanzo, DC

  • Chiropractor
  • Bemidji, MN
  • NPI 1619475746
  Medicare reassignment NPD Authorized official
• Korbyn Lucking, DC

  • Chiropractor
  • Bemidji, MN
  • NPI 1114691458
  NPD (past)

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1831058593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 5TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012915",
            "telephone_number": "218-444-8832",
            "fax_number": "218-444-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 5TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566012915",
            "telephone_number": "303-656-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSTANZO CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "COSTANZO",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "218-444-8832",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fox and Fern Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon Kay Cooper, LSW, LADC
• Veronica Lin Cooper, DDS
• Core Health & Nutrition LLC
• Laura Cormican
• Joseph A. Corser, M.D.
• Kristin Costanzo, DC
• Counseling Services of Bemidji
• County of Beltrami
• Cody Lee Coyer, B.S, LADC
• Andrea Olivia Craig, APRN, CNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; 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.