Active NPI
Kevin Wilhelmi, D.C.
- Chiropractor
- Minneapolis, MN
National Provider Identifier
1831259639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4579
- Practice address
- 3706 Nicollet Ave
Minneapolis, MN 55409-1237 - Phone
- (612) 822-7509
- Fax
- (612) 827-3860
- NPI assigned
- Dec 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4579 | MN | Primary |
Addresses
Primary practice location
3706 Nicollet Ave
Minneapolis, MN 55409-1237
Mailing address
3706 Nicollet Ave
Minneapolis, MN 55409-1237
Phone (612) 822-7509
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 252872 | Other | MN | MIDLANDS CHOICE |
| 155L8LI | Other | MN | BCBS GROUP NUMBER |
| 291K0WI | Other | MN | BLUE CROSS BLUE SHIELD |
| 323650100 | Medicaid | MN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4579 | MN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeforce Chiropractic PA | Chiropractor | Past | Accepting new patients |
| Ardor Chiropractic and Wellness, LLC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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
- Minneapolis, MN
- NPI 1679971220
-
- Chiropractor
- Minneapolis, MN
- NPI 1316086416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353283200000",
"number": "1831259639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3706 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091237",
"telephone_number": "612-822-7509",
"fax_number": "612-827-3860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3706 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554091237",
"telephone_number": "612-822-7509",
"fax_number": "612-827-3860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHELMI",
"first_name": "KEVIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2012-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDLANDS CHOICE",
"identifier": "252872",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NUMBER",
"identifier": "155L8LI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "291K0WI",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "323650100",
"state": "MN"
}
],
"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 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.