Active NPI
Carder Chiropractic and Health PLLC
- Chiropractor
- Lakeville, MN
National Provider Identifier
1043873821
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- CARDER CHIROPRACTIC AND HEALTH PLLC
- Doing business as
- Lakeville Spine & Health
- Practice address
- 20176 Heritage Dr
Lakeville, MN 55044-6855 - Phone
- (952) 985-8808
- NPI assigned
- Apr 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kent E Carder, D.C.
- Title
- Owner/Doctor
- Phone
- (952) 985-8808
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
20176 Heritage Dr
Lakeville, MN 55044-6855
Mailing address
20176 Heritage Dr
Lakeville, MN 55044-6855
Phone (952) 985-8808
Other names 1
- Lakeville Spine & Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20176 Heritage Dr
Lakeville, MN 55044
Phone (952) 594-2796
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Lakeville, MN
- NPI 1902389687
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654560000000",
"number": "1043873821",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20176 HERITAGE DR",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446855",
"telephone_number": "952-985-8808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20176 HERITAGE DR",
"city": "LAKEVILLE",
"state": "MN",
"postal_code": "550446855",
"telephone_number": "952-985-8808"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDER CHIROPRACTIC AND HEALTH PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-17",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A",
"authorized_official_last_name": "CARDER",
"authorized_official_first_name": "KENT",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/DOCTOR",
"authorized_official_telephone_number": "952-985-8808",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Lakeville Spine & Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Lakeville Spine & Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lakeville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; 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.