Active NPI
Kevin M Venerus, D.C.
- Chiropractor
- Minneapolis, MN
National Provider Identifier
1871529404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6176
- Practice address
- 2901 Dorman Ave
Minneapolis, MN 55406-1837 - Phone
- (612) 618-6571
- NPI assigned
- Jun 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301008605 | MI | |
| Chiropractor | 111N00000X | 6176 | MN | Primary |
Addresses
Primary practice location
2901 Dorman Ave
Minneapolis, MN 55406-1837
Mailing address
2901 Dorman Ave
Minneapolis, MN 55406-1837
Phone (612) 618-6571
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 |
|---|---|---|---|
| 6176 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452556800000",
"number": "1871529404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 DORMAN AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061837",
"telephone_number": "612-618-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 DORMAN AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061837",
"telephone_number": "612-618-6571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENERUS",
"first_name": "KEVIN",
"middle_name": "M",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-24",
"last_updated": "2016-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008605",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6176",
"primary": true
}
],
"identifiers": [],
"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 Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.