Organization Active NPI

Klemek Chiropractic

  • Chiropractor
  • Parkers Prairie, MN
National Provider Identifier
1871035451
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6276 Issued in MN
Legal business name
KLEMEK CHIROPRACTIC
Practice address
115 W Soo St
Parkers Prairie, MN 56361-4400
Phone
(218) 338-2492
NPI assigned
Nov 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Dr. Jillian Fay Klemek, DCNPI 1609328251
Title
Doctor of Chiropractic Owner
Phone
(218) 338-2492

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6276 MN Primary

Addresses

Primary practice location

115 W Soo St
Parkers Prairie, MN 56361-4400

Mailing address

115 W Soo St
Parkers Prairie, MN 56361-4400
Phone (218) 338-2492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161213000696 MN Part B Supplier - Clinic/Group Practice 8426338252 Receives reassigned benefits from 1 practitioner
Practice locations: Parkers Prairie, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1871035451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W SOO ST",
            "city": "PARKERS PRAIRIE",
            "state": "MN",
            "postal_code": "563614400",
            "telephone_number": "218-338-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W SOO ST",
            "city": "PARKERS PRAIRIE",
            "state": "MN",
            "postal_code": "563614400",
            "telephone_number": "218-338-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLEMEK CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "KLEMEK",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_middle_name": "FAY",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC OWNER",
        "authorized_official_telephone_number": "218-338-2492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkers Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.