Individual provider Active NPI

Kassandra Kaye Kaas, DC

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1982172037
Registry record updated Nov 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6343 Issued in MN
Practice address
13911 Ridgedale Dr Ste 490
Minnetonka, MN 55305-1772
Phone
(952) 417-6316
NPI assigned
Nov 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6343 MN Primary

Addresses

Primary practice location

13911 Ridgedale Dr Ste 490
Minnetonka, MN 55305-1772

Mailing address

500 Linden St # 5
Excelsior, MN 55331-3073
Phone (218) 393-2215

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6343MNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1982172037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LINDEN ST # 5",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313073",
            "telephone_number": "218-393-2215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 RIDGEDALE DR STE 490",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051772",
            "telephone_number": "952-417-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAAS",
        "first_name": "KASSANDRA",
        "middle_name": "KAYE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.