Individual provider Active NPI

Christian Jon Kollar, D.C.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1922004167
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4379 Issued in MN
Practice address
2216 County Road D W Ste B
Saint Paul, MN 55112-8505
Phone
(651) 636-4120
Fax
(651) 639-1069
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4379 MN Primary

Addresses

Primary practice location

2216 County Road D W Ste B
Saint Paul, MN 55112-8505

Mailing address

2216 County Road D W Ste B
Saint Paul, MN 55112-8505
Phone (651) 636-4120

Other practice location 1

939 Old Highway 8 NW
Ste 200
New Brighton, MN 55112-2787
Phone (651) 636-4120 ext. 21

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000488 MN Practitioner - Chiropractic 5496786121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2216 County Rd D W
Suite B
Saint Paul, MN 55112-8505
Phone (651) 636-4120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Brighton Chiropractic Clinic, P.a. Chiropractor CurrentSince Jul 1, 2003 Accepting new patients
Eric J Hering DC, PA Chiropractor Past Accepting new patients

Locations

2216 County Road D W
Ste B
Saint Paul, MN 55112
Phone (651) 636-4120

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922004167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 COUNTY ROAD D W STE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551128505",
            "telephone_number": "651-636-4120",
            "fax_number": "651-639-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 COUNTY ROAD D W STE B",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551128505",
            "telephone_number": "651-636-4120",
            "fax_number": "651-639-1069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 Old Highway 8 NW",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "New Brighton",
            "state": "MN",
            "postal_code": "551122787",
            "country_code": "US",
            "telephone_number": "651-636-4120 x21",
            "fax_number": "651-636-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLLAR",
        "first_name": "CHRISTIAN",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.