Individual provider Active NPI

Karlene Manitowich, DC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1922563600
Registry record updated Apr 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6583 Issued in MN
Practice address
3706 Nicollet Ave
Minneapolis, MN 55409
Phone
(612) 822-3709
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6583 MN Primary

Addresses

Primary practice location

3706 Nicollet Ave
Minneapolis, MN 55409

Mailing address

3706 Nicollet Ave
Minneapolis, MN 55409-1237

Other practice location 1

3416 Girard Ave S
Minneapolis, MN 55408-3817
Phone (952) 855-3968

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190312001114 MN Practitioner - Chiropractic 2961741848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ardor Chiropractic and Wellness LLCGroup PAC ID 9133445315, 2 clinicians

Practice addresses (Care Compare)

3706 Nicollet Ave
Minneapolis, MN 55409-1237
Phone (612) 822-7509

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6583MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ardor Chiropractic and Wellness, LLC Chiropractor CurrentSince Feb 18, 2019 Accepting new patients
Lifeforce Chiropractic PA Chiropractor CurrentSince Feb 18, 2019 Accepting new patients

Locations

3706 Nicollet Ave
Minneapolis, MN 55409
Phone (612) 822-3709

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554508800000",
    "number": "1922563600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3706 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55409",
            "telephone_number": "612-822-3709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3416 Girard Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554083817",
            "country_code": "US",
            "telephone_number": "952-855-3968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANITOWICH",
        "first_name": "KARLENE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6583",
            "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 Apr 6, 2019; 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.