NPIMap

Organization Active NPI

Integrated Provider Group of Minnesota

  • Chiropractor
  • Edina, MN
National Provider Identifier
1023880911
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INTEGRATED PROVIDER GROUP OF MINNESOTA
Practice address
7373 France Ave S
Edina, MN 55435-4534
Phone
(877) 414-2533
NPI assigned
Oct 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Molly Jane Magnani, DCNPI 1528029717
Title
Owner
Phone
(877) 414-2533

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 Primary

Addresses

Primary practice location

7373 France Ave S
Edina, MN 55435-4534

Mailing address

6497 Promontory Dr
Eden Prairie, MN 55346-1914
Phone (612) 801-1397

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240108005195 MN Part B Supplier - Clinic/Group Practice 2961853544 Receives reassigned benefits from 12 practitioners
Practice locations: Woodbury, MN; Shakopee, MN; Saint Paul, MN; Plymouth, MN; Edina, MN; Isanti, MN; Cambridge, MN; Coon Rapids, MN

National Provider Directory

National Provider Directory

Locations

7373 France Ave S
Ste 508
Edina, MN 55435
Phone (952) 835-5665

7373 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (877) 414-2533

1601 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 428-3535

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1023880911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6497 PROMONTORY DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553461914",
            "telephone_number": "612-801-1397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354534",
            "telephone_number": "877-414-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PROVIDER GROUP OF MINNESOTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "MAGNANI",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-414-2533",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.