Chris Keck-Cardona, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

70930-20 Issued in WI

Practice address

Children's Health Care
963 South Robert Street
West Saint Paul, MN 55118-1446

Phone

(651) 726-9500

Fax

(651) 552-1575

NPI assigned

Apr 27, 2017

Last updated

Aug 12, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Clinic Network

  dba Children's Hugo Clinic

  • Primary Care Clinic/Center
  • Hugo, MN
  • NPI 1447529235
  Medicare reassignment NPD
• Children's Clinic Network

  dba Children's West St. Paul Clinic

  • Primary Care Clinic/Center
  • West St Paul, MN
  • NPI 1346513447
  NPD
• Children's Clinic Network

  dba Children's Brooklyn Park Clinic

  • Primary Care Clinic/Center
  • Brooklyn Park, MN
  • NPI 1588522668
  NPD
• Childrens Health Care

  dba Childrens Hospitals and Clinics of Minnesota

  • Children's Hospital
  • Saint Paul, MN
  • NPI 1629161781
  NPD (past)

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

{
    "created_epoch": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1952836843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CHILDREN'S HEALTH CARE",
            "address_2": "963 SOUTH ROBERT STREET",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551181446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CHILDREN'S HEALTH CARE",
            "address_2": "963 SOUTH ROBERT STREET",
            "city": "WEST SAINT PAUL",
            "state": "MN",
            "postal_code": "551181446",
            "telephone_number": "651-726-9500",
            "fax_number": "651-552-1575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KECK-CARDONA",
        "first_name": "CHRIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "70930-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Jacoby LLC
• James Douglas Johnson
• James Paul Johnson Jr., LADC, NCAC II SAP
• William Sterling Johnston, DDS
• Julie Joloka
• Lauren Lee Ketchmark, PHARMD
• Patrick Q Knoedler, MD
• Nathanael Joseph Kreager, D.D.S.
• Peter Lee Ladd, D.C.
• Cheng-Houa Lee

• Pediatrics Physician in West Saint Paul, MN
• Providers in West Saint Paul, MN by specialty
• Pediatrics Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.