Achieve Health Clinic of Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3733 Issued in MN

Legal business name

ACHIEVE HEALTH CLINIC OF CHIROPRACTIC

Practice address

11350 Aquila Dr N Ste 825
Champlin, MN 55316-3798

Phone

(763) 323-3456

NPI assigned

Jan 2, 2008

Last updated

Dec 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Lee, DCNPI 1629164462

Title

President

Phone

(763) 323-3456

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David R Lee, DC

  • Chiropractor
  • Champlin, MN
  • NPI 1629164462
  Medicare reassignment NPD Authorized official
• Amy Laura Lee, DC

  • Chiropractor
  • Champlin, MN
  • NPI 1154455301
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1013192640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 AQUILA DR N STE 825",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163798",
            "telephone_number": "763-323-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 AQUILA DR N STE 825",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163798",
            "telephone_number": "763-323-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE HEALTH CLINIC OF CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-323-3456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPI 1114666559 (The Garson Group)
• Kaye Ann Marie Abel, MD
• Anne Adix, PT
• Advanced Wellness & Sports Rehab PA
• Aegis Group Practice LLC
• Agape Psychiatric Services LLC
• Ahmed Ahmed

• Chiropractor in Champlin, MN
• Providers in Champlin, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.