Organization Active NPI

Carder Chiropractic and Health PLLC

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1043873821
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Jun 7, 2022

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.NPI 1902389687
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220712004125 MN Part B Supplier - Clinic/Group Practice 0244611952 Receives reassigned benefits from 1 practitioner
Practice locations: Lakeville, MN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.