DR. TODD LAVERNE KANZENBACH M.D.
NPI 1124016597
Family Medicine - Sports Medicine in Mankato, MN

Active since October 11, 2005
21 CARKOSKI COMMONS, MINNESOTA STATE UNIVERSITY, MANKATO, MANKATO, MN 56001(507) 389-6276(507) 389-5787 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Todd Laverne Kanzenbach M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TODD LAVERNE KANZENBACH M.D. (NPI 1124016597) is an individual sports medicine provider in Mankato, Minnesota, licensed in Minnesota (38627) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1124016597
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. TODD LAVERNE KANZENBACHCredential: M.D.
Location Address21 CARKOSKI COMMONS, MINNESOTA STATE UNIVERSITY, MANKATOMankato, MN 56001-6030
Mailing Address600 Maywood Ave, 21 Carkoski CommonsMankato, MN 56001-6441 · (507) 389-1430 · Fax (507) 389-5787
Fax(507) 389-5787
Sole ProprietorNo
Enumeration DateOctober 11, 2005
Last NPPES UpdateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
NPI 1124016597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in MN · 38627
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
21 CARKOSKI COMMONS, Mankato, MN 56001

Other Identifiers 3

Other247M1KAMN · Bcbs
Other140293MN · Ucare
Other01-09557MN · Medica

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
21 CARKOSKI COMMONS, MINNESOTA STATE UNIVERSITY, MANKATO
MANKATO, MN 56001
Nurse Practitioner
21 CARKOSKI COMMONS
MANKATO, MN 56001
Pharmacy (Clinic Pharmacy)
21 CARKOSKI COMMONS
MANKATO, MN 56001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Todd Kanzenbach's NPI number?

The NPI number for Todd Kanzenbach is 1124016597. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Todd Kanzenbach located?

Todd Kanzenbach practices at 21 Carkoski Commons Minnesota State University, Mankato, Mankato, MN 56001. The listed phone number is (507) 389-6276.

What is Todd Kanzenbach's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

What insurance does Todd Kanzenbach accept?

Health plans from Medica list Todd Kanzenbach as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Todd Kanzenbach was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.