Active NPI
Kirk Nelson, DC
- Chiropractor
- Woodbury, MN
National Provider Identifier
1942393533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2898
- Practice address
- 8425 Seasons Pkwy
Ste 104B
Woodbury, MN 55125-4392 - Phone
- (651) 702-7800
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2898 | MN | Primary |
Addresses
Primary practice location
8425 Seasons Pkwy
Ste 104B
Woodbury, MN 55125-4392
Mailing address
8425 Seasons Pkwy
Ste 104B
Woodbury, MN 55125-4392
Phone (651) 702-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2173280-00 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1942393533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8425 SEASONS PKWY",
"address_2": "STE 104B",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254392",
"telephone_number": "651-702-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8425 SEASONS PKWY",
"address_2": "STE 104B",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551254392",
"telephone_number": "651-702-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "KIRK",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "2898",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2173280-00",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.