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DR. KENNETH WARREN ODEGAARD II D.C.
NPI 1477651685
Chiropractor in Minneapolis, MN

Active since September 20, 2006
21 4TH ST NE, MINNEAPOLIS, MN 55413(612) 379-2344(612) 379-2751 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Warren Odegaard Ii D.c. NPPES

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

DR. KENNETH WARREN ODEGAARD II D.C. (NPI 1477651685) is an individual chiropractor in Minneapolis, Minnesota, licensed in Minnesota (1664) and active in the NPI registry since September 2006. He is a graduate of Northwestern College Of Chiropractic (1980).

NPPES Registry Identity

NPI1477651685
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. KENNETH WARREN ODEGAARD IICredential: D.C.
Location Address21 4TH ST NEMinneapolis, MN 55413-2219
Mailing Address21 4th St NeMinneapolis, MN 55413-2219 · (612) 379-2344 · Fax (612) 379-2751
Phone(612) 379-2344
Fax(612) 379-2751
Sole ProprietorYes
Medical School CMSNorthwestern College Of ChiropracticGraduated 1980
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1477651685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 1664
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
21 4TH ST NE, Minneapolis, MN 55413
Open in Google Maps ↗

Other Identifiers 1

Other26583ODMN · Minnesota Blue Cross/blue

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kenneth Warren Odegaard Ii D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062501935
PECOS Enrollment IDI20071129000347

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
104 services15 patients

Other Providers at the Same Location NPPES

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

HARMONY SCREENING SERVICE LLC
Clinical Medical Laboratory
21 4TH ST NE
MINNEAPOLIS, MN 55413
Hennepin County (612) 430-4736

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 Kenneth Odegaard's NPI number?

The NPI number for Kenneth Odegaard is 1477651685. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Kenneth Odegaard located?

Kenneth Odegaard practices at 21 4th St NE, Minneapolis, MN 55413. The listed phone number is (612) 379-2344.

What is Kenneth Odegaard's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kenneth Odegaard enrolled in Medicare?

Yes. Kenneth Odegaard is registered in the Medicare PECOS enrollment system.

What insurance does Kenneth Odegaard accept?

Health plans from HealthPartners and Medica list Kenneth Odegaard 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 Kenneth Odegaard was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.