Organization Active NPI

Lordex Spine Institute of Minneapolis, LLC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1033243167
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2207 Issued in MN
Legal business name
LORDEX SPINE INSTITUTE OF MINNEAPOLIS, LLC
Practice address
2900 Thomas Ave S
Suite 330
Minneapolis, MN 55416-4477
Phone
(612) 926-7246
Fax
(612) 915-1439
NPI assigned
Mar 14, 2007
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
Ms. Julie A. Ryan
Title
Office Manager
Phone
(612) 926-7246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2207 MN Primary

Addresses

Primary practice location

2900 Thomas Ave S
Suite 330
Minneapolis, MN 55416-4477

Mailing address

2900 Thomas Ave S
Suite 330
Minneapolis, MN 55416-4477
Phone (612) 926-7246

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033243167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 THOMAS AVE S",
            "address_2": "SUITE 330",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164477",
            "telephone_number": "612-926-7246",
            "fax_number": "612-915-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 THOMAS AVE S",
            "address_2": "SUITE 330",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554164477",
            "telephone_number": "612-926-7246",
            "fax_number": "612-915-1439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORDEX SPINE INSTITUTE OF MINNEAPOLIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-926-7246",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, 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.