Active NPI
Steven L Huberty, D.C.
- Chiropractor
- New Hope, MN
National Provider Identifier
1043380561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3963
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240786800 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Chiropractic D.C., PA | Chiropractor | Current | Accepting new patients |
| St. Michael Spinal Rehab Center, Inc | Chiropractor | Past | 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.
-
- Chiropractor
- New Hope, MN
- NPI 1427124874
-
- Physical Therapist
- Saint Michael, MN
- NPI 1467570226
-
- Chiropractor
- Saint Michael, MN
- NPI 1487783965
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.