Active NPI
Kirsten D. Addison, D.C.
- Chiropractor
- Bemidji, MN
National Provider Identifier
1831474527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4641
- Practice address
- 403 America Ave NW
Bemidji, MN 56601-3122 - Phone
- (218) 444-8727
- NPI assigned
- Oct 13, 2011
- Sex
- Female
- 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 | 4641 | MN | Primary |
Addresses
Primary practice location
403 America Ave NW
Bemidji, MN 56601-3122
Mailing address
812 Arch LN SW
Bemidji, MN 56601-8852
Phone (218) 368-5087
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4641 | MN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bemidji Health and Wellness Center, P.C. | Chiropractor | Past | Accepting new patients |
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
- Bemidji, MN
- NPI 1780681437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318464000000",
"number": "1831474527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 ARCH LN SW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566018852",
"telephone_number": "218-368-5087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 AMERICA AVE NW",
"city": "BEMIDJI",
"state": "MN",
"postal_code": "566013122",
"telephone_number": "218-444-8727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADDISON",
"first_name": "KIRSTEN",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-13",
"last_updated": "2011-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bemidji, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.