Kalan Clete Stittleburg, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6314 Issued in MN

Practice address

2300 Superior Dr NW
Ste 2
Rochester, MN 55901-3062

Phone

(715) 937-0549

NPI assigned

Feb 9, 2017

Sex

Male

Sole proprietor

Yes

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, WI2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Trillium Spinal Care PLC

  • Chiropractor
  • Rochester, MN
  • NPI 1851839955

  WI

  Medicare reassignment NPD Authorized official
• Premier Chiropractic LLC

  • Nutrition Chiropractor
  • Eyota, MN
  • NPI 1568925097
  NPD

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1912445917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 SUPERIOR DR NW",
            "address_2": "STE 2",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013062",
            "telephone_number": "715-937-0549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 SUPERIOR DR NW",
            "address_2": "STE 2",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013062",
            "telephone_number": "715-937-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STITTLEBURG",
        "first_name": "KALAN",
        "middle_name": "CLETE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Stieven, PHARMD.
• Carole Jean Stiles, LICSW
• Alison Avery Stiller, MD
• Bradley Jerome Stish, MD
• Derek Stitt, M.D.
• Walter S Stobaugh, LICSW
• Abigail Lauren Stockham, M.D.
• Abigail Krystene Stockland
• Andrew Harris Stockland, M.D.
• Ruth E Stoeckel, PHD, CCC-SLP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; 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.