Organization Active NPI

Koslowski Chiropractic Inc

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1861563264
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2326 Issued in MN
Legal business name
KOSLOWSKI CHIROPRACTIC INC
Practice address
312 Central Avenue SE
Suite 468
Minneapolis, MN 55414-1096
Phone
(612) 379-4043
Fax
(612) 379-4398
NPI assigned
Nov 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sylvie Rolande Koslowski
Title
Sec Treasurer Office Manager
Phone
(612) 379-4043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2326 MN Primary

Addresses

Primary practice location

312 Central Avenue SE
Suite 468
Minneapolis, MN 55414-1096

Mailing address

312 Central Avenue SE
Suite 468
Minneapolis, MN 55414-1096
Phone (612) 379-4043

Other identifiers 1

IdentifierTypeStateIssuer
0H125KOOtherMNBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051108000169 MN Part B Supplier - Clinic/Group Practice 7517985633 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

312 Central Ave SE
Ste 468
Minneapolis, MN 55414
Phone (612) 379-4043

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861563264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CENTRAL AVENUE SE",
            "address_2": "SUITE 468",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554141096",
            "telephone_number": "612-379-4043",
            "fax_number": "612-379-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 CENTRAL AVENUE SE",
            "address_2": "SUITE 468",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554141096",
            "telephone_number": "612-379-4043",
            "fax_number": "612-379-4398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOSLOWSKI CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOSLOWSKI",
        "authorized_official_first_name": "SYLVIE",
        "authorized_official_middle_name": "ROLANDE",
        "authorized_official_title_or_position": "SEC TREASURER OFFICE MANAGER",
        "authorized_official_telephone_number": "612-379-4043",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0H125KO",
            "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 Aug 22, 2020; 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.