Organization Active NPI

Kramer Chiropractic P.a.

  • Health Service Clinic/Center
  • Evansville, MN
National Provider Identifier
1952592552
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
4517 Issued in MN
Legal business name
KRAMER CHIROPRACTIC P.A.
Practice address
105 Main St NW
Box 206
Evansville, MN 56326-4548
Phone
(218) 948-2804
NPI assigned
Aug 7, 2007
Last updated
Nov 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Authorized official

Name
Travis KramerNPI 1679662944
Title
Owner
Phone
(218) 948-2804

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 4517 MN Primary

Addresses

Primary practice location

105 Main St NW
Box 206
Evansville, MN 56326-4548

Mailing address

115 W Soo St
P.O. Box 165
Parkers Prairie, MN 56361-4400
Phone (218) 338-2492

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050719000590 MN Part B Supplier - Clinic/Group Practice 6901887918 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, MN

National Provider Directory

National Provider Directory

Locations

815 Broadway St
Alexandria, MN 56308
Phone (320) 760-6531

120 N Otter Ave
Parkers Prairie, MN 56361
Phone (218) 338-2492

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1952592552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W SOO ST",
            "address_2": "P.O. BOX 165",
            "city": "PARKERS PRAIRIE",
            "state": "MN",
            "postal_code": "563614400",
            "telephone_number": "218-338-2492",
            "fax_number": "218-338-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN ST NW",
            "address_2": "BOX 206",
            "city": "EVANSVILLE",
            "state": "MN",
            "postal_code": "563264548",
            "telephone_number": "218-948-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRAMER CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-948-2804"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "MN",
            "license": "4517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.