Organization Active NPI

Power Within Chiropractic of Elk River

  • Chiropractor
  • Elk River, MN
National Provider Identifier
1083882740
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1490 Issued in MN
Legal business name
POWER WITHIN CHIROPRACTIC OF ELK RIVER
Practice address
630 Freeport Ave NW
Suite 100
Elk River, MN 55330-2632
Phone
(763) 441-3830
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Authorized official

Name
Mychaela Ray Harp, DC
Title
Owner
Phone
(763) 441-3830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1490 MN Primary

Addresses

Primary practice location

630 Freeport Ave NW
Suite 100
Elk River, MN 55330-2632

Mailing address

630 Freeport Ave NW
Suite 100
Elk River, MN 55330-2632

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040324000422 MN Part B Supplier - Clinic/Group Practice 3779474085 Receives reassigned benefits from 2 practitioners
Practice locations: Elk River, MN

National Provider Directory

National Provider Directory

Locations

804 Freeport Ave NW
Ste A
Elk River, MN 55330
Phone (763) 441-3830

630 Freeport Ave NW
Ste 100
Elk River, MN 55330
Phone (763) 441-3830

Practitioners & affiliated clinicians

Practitioners 5

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": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1083882740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FREEPORT AVE NW",
            "address_2": "SUITE 100",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FREEPORT AVE NW",
            "address_2": "SUITE 100",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302632",
            "telephone_number": "763-441-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWER WITHIN CHIROPRACTIC OF ELK RIVER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-19",
        "status": "A",
        "authorized_official_last_name": "HARP",
        "authorized_official_first_name": "MYCHAELA",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-441-3830",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.