Healthstar Chiropractic Center, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4188 Issued in MN

Legal business name

HEALTHSTAR CHIROPRACTIC CENTER, P.A.

Practice address

7525 Mitchell Rd
Suite 300
Eden Prairie, MN 55344-1959

Phone

(952) 974-2091

Fax

(952) 974-2296

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Brent A Kvam, D.C.NPI 1053395863

Title

President

Phone

(952) 974-2091

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 2

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

• Brent Alexander Kvam, D.C.,

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1053395863
  Medicare reassignment NPD Authorized official
• Linda Charnley

  • Massage Therapist
  • Eden Prairie, MN
  • NPI 1558734202
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053432989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 300",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-974-2091",
            "fax_number": "952-974-2296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 MITCHELL RD",
            "address_2": "SUITE 300",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441959",
            "telephone_number": "952-974-2091",
            "fax_number": "952-974-2296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSTAR CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KVAM",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-974-2091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heal Bridge Recuperative Care LLC
• Heal Well Recovery
• Healing & Restoration Consulting LLC
• Healthsource of Eden Prairie, PLLC
• Healthsource of Edina, PLLC
• Healthy Living Chiropractic, LLC
• Healthy Weighs Metabolic Health and Weight Management Clinic, PLLC
• Jillian Marie Heath, PT
• Jenny Marie Heidt, D.C.
• Makinley Paige Heil

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.