Individual provider Active NPI

Steven L Huberty, D.C.

  • Chiropractor
  • New Hope, MN
National Provider Identifier
1043380561
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3963 Issued in MN
Practice address
4221 Winnetka Ave N
New Hope, MN 55428-4924
Phone
(763) 533-0654
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3963 MN Primary

Addresses

Primary practice location

4221 Winnetka Ave N
New Hope, MN 55428-4924

Mailing address

5609 Lambert Ave NE
Albertville, MN 55301-3917
Phone (612) 616-4338

Other identifiers 1

IdentifierTypeStateIssuer
240786800MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110104001158 MN Practitioner - Chiropractic 5799974952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Chiropractic DC PAGroup PAC ID 9739344136, 2 clinicians

Practice addresses (Care Compare)

4221 Winnetka N Ave
New Hope, MN 55428-4924
Phone (763) 533-0654

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Chiropractic D.C., PA Chiropractor CurrentSince Jan 1, 2012 Accepting new patients
St. Michael Spinal Rehab Center, Inc Chiropractor PastSince Jun 15, 1996 Accepting new patients
St Michael Spinal Rehab Center Inc Past Accepting new patients

Locations

4221 Winnetka Ave N
New Hope, MN 55428
Phone (612) 751-0051

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1043380561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5609 LAMBERT AVE NE",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553013917",
            "telephone_number": "612-616-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 WINNETKA AVE N",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554284924",
            "telephone_number": "763-533-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERTY",
        "first_name": "STEVEN",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "240786800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.