Elevated Health Center

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

5551 Issued in MN

Legal business name

ELEVATED HEALTH CENTER

Practice address

10705 Town Square Dr NE
Ste 220
Blaine, MN 55449-8184

Phone

(651) 216-1997

NPI assigned

Jul 16, 2014

Organization subpart

No

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

Authorized official

Name

Dr. David Oommen, D.C.NPI 1477849651

Title

Doctor/Owner

Phone

(651) 216-1997

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• David Joseph Oommen, D.C.

  • Rehabilitation Chiropractor
  • Lino Lakes, MN
  • NPI 1477849651
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1033526538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10705 TOWN SQUARE DR NE",
            "address_2": "STE 220",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554498184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10705 TOWN SQUARE DR NE",
            "address_2": "STE 220",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554498184",
            "telephone_number": "651-216-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "OOMMEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "651-216-1997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "MN",
            "license": "5551",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "5551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Edwardh
• Ee&E Sisters Caring Home
• Jessica Effertz
• Rose Ekobena
• Fariya Zaman Ela
• Elite Services Center Inc
• Carol Ellens, DDS
• Mohamed Abdi Elmi
• Ember & Shore Therapy PLLC
• Emperor Home Care LLC

• Pediatric Chiropractor in Blaine, MN
• Providers in Blaine, MN by specialty
• Pediatric Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.