Organization Active NPI

IHS Grand Avenue PLLP

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1013921923
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4353 Issued in MN
Legal business name
IHS GRAND AVENUE PLLP
Doing business as
Health Quest
Practice address
1053 Grand Ave
Suite 114
Saint Paul, MN 55105-3022
Phone
(651) 292-9247
Fax
(651) 292-9257
NPI assigned
Jul 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Alex Chernyavsky, D.C.NPI 1912911918
Title
Owner
Phone
(651) 644-7207

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4353 MN Primary

Addresses

Primary practice location

1053 Grand Ave
Suite 114
Saint Paul, MN 55105-3022

Mailing address

1053 Grand Ave
Suite 114
Saint Paul, MN 55105-3022
Phone (651) 292-9247

Other names 1

  • Health Quest Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013921923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 GRAND AVE",
            "address_2": "SUITE 114",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053022",
            "telephone_number": "651-292-9247",
            "fax_number": "651-292-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 GRAND AVE",
            "address_2": "SUITE 114",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053022",
            "telephone_number": "651-292-9247",
            "fax_number": "651-292-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IHS GRAND AVENUE PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHERNYAVSKY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-644-7207",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health Quest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.