Organization Active NPI

Keith R. Kamrath, P.a.

  • Chiropractor
  • Hutchinson, MN
National Provider Identifier
1871787473
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2062 Issued in MN
Legal business name
KEITH R. KAMRATH, P.A.
Practice address
125 Main St S
Hutchinson, MN 55350-2506
Phone
(320) 587-3888
Fax
(320) 587-3888
NPI assigned
Aug 28, 2007
Last updated
Jun 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Dr. Keith Raymond Kamrath, D.C.NPI 1457357782
Title
President
Phone
(320) 587-3888

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 2062 MN Primary

Addresses

Primary practice location

125 Main St S
Hutchinson, MN 55350-2506

Mailing address

125 Main St S
Hutchinson, MN 55350-2506
Phone (320) 587-3888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041103000550 MN Part B Supplier - Clinic/Group Practice 7214999093 Receives reassigned benefits from 1 practitioner
Practice locations: Hutchinson, MN

National Provider Directory

National Provider Directory

Locations

125 Main St S
Hutchinson, MN 55350
Phone (320) 587-3888

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1871787473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 MAIN ST S",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502506",
            "telephone_number": "320-587-3888",
            "fax_number": "320-587-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 MAIN ST S",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553502506",
            "telephone_number": "320-587-3888",
            "fax_number": "320-587-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH R. KAMRATH, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KAMRATH",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-587-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutchinson, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.