Kurt Donald Kramer, STM, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5391 Issued in MN

Practice address

627 12TH St E
Glencoe, MN 55336-2133

Phone

(612) 240-0054

Fax

(320) 864-8004

NPI assigned

Jun 14, 2010

Last updated

Aug 1, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Te Deo, LLC

  dba Glencoe Family Chiropractic

  • Medical Specialty Clinic/Center
  • Glencoe, MN
  • NPI 1922388123
  Medicare reassignment NPD Authorized official
• Glencoe Family Chiropractic, P.a.

  • Chiropractor
  • Glencoe, MN
  • NPI 1134388549
  NPD (past)

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470009600000",
    "number": "1912228909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 12TH ST E",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362133",
            "telephone_number": "320-864-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 12TH ST E",
            "city": "GLENCOE",
            "state": "MN",
            "postal_code": "553362133",
            "telephone_number": "612-240-0054",
            "fax_number": "320-864-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "KURT",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "STM, DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2016-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khashayar Khodadoustan, DDS
• Kari N Knodel-Vettel, MPAS PAC
• Shawn Donald Knorr, DDS
• Kristine Leonard Knudten, MD
• Jane J. Kokesh, M.A.
• Andrea Leigh Kress
• Eugenia Jo Marie Kuehn, L.AC
• Timothy F Lane, MD
• Anna Lano, DC
• Jessica Ann Larson, FNP-C

• Chiropractor in Glencoe, MN
• Providers in Glencoe, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.