NPIMap

Organization Active NPI

Acqua Chiropractic Spa

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1003067802
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4610 Issued in MN
Legal business name
ACQUA CHIROPRACTIC SPA
Practice address
1730 Plymouth Rd Ste 300
Minnetonka, MN 55305-1932
Phone
(952) 300-2387
Fax
(952) 300-2386
NPI assigned
Oct 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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

Authorized official

Name
Dr. Lisa M Verna, D.C.
Title
Owner
Phone
(952) 300-2387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4610 MN Primary

Addresses

Primary practice location

1730 Plymouth Rd Ste 300
Minnetonka, MN 55305-1932

Mailing address

1730 Plymouth Rd Ste 300
Minnetonka, MN 55305-1932
Phone (952) 300-2387

Other names 1

  • Conscious Living Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1003067802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 PLYMOUTH RD STE 300",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051932",
            "telephone_number": "952-300-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 PLYMOUTH RD STE 300",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553051932",
            "telephone_number": "952-300-2387",
            "fax_number": "952-300-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACQUA CHIROPRACTIC SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "VERNA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-300-2387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conscious Living Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 18, 2012; 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.