Organization Active NPI

Robin Center Chiropractic

  • Chiropractor
  • Robbinsdale, MN
National Provider Identifier
1033314612
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4353 Issued in MN
Legal business name
ROBIN CENTER CHIROPRACTIC
Practice address
4064 Lakeland Ave N
Robbinsdale, MN 55422-2236
Phone
(763) 746-1242
Fax
(763) 746-1246
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Mr. Alex Chernyavsky, DC
Title
President
Phone
(763) 746-1242

Specialties & licenses 1

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

Addresses

Primary practice location

4064 Lakeland Ave N
Robbinsdale, MN 55422-2236

Mailing address

4064 Lakeland Ave N
Robbinsdale, MN 55422-2236
Phone (763) 746-1242

Other identifiers 2

IdentifierTypeStateIssuer
1912911918OtherMNNPI NUMBER
4353OtherMNCHIRORACTIC LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071107000759 MN Part B Supplier - Clinic/Group Practice 7113014184 Receives reassigned benefits from 2 practitioners
Practice locations: New Hope, MN

National Provider Directory

National Provider Directory

Locations

7514 42nd Ave N
New Hope, MN 55427
Phone (763) 746-1244

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1033314612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4064 LAKELAND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222236",
            "telephone_number": "763-746-1242",
            "fax_number": "763-746-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4064 LAKELAND AVE N",
            "city": "ROBBINSDALE",
            "state": "MN",
            "postal_code": "554222236",
            "telephone_number": "763-746-1242",
            "fax_number": "763-746-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBIN CENTER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "CHERNYAVSKY",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-746-1242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1912911918",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIRORACTIC LICENSE",
            "identifier": "4353",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robbinsdale, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.