Anoka Family Chiropractic P.a.
Organization Active NPI Medical Specialty Clinic/Center · Anoka, MN
NPI 1104374933 · NPPES record last updated May 5, 2025
Key facts
- NPI
- 1104374933
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Specialty Clinic/Center 261QM2500X
- Legal business name
- ANOKA FAMILY CHIROPRACTIC P.A.
- Practice address
- 1902 5TH Ave
Suite 2
Anoka, MN 55303-2578 - Phone
- (763) 427-7869
- Fax
- (763) 427-3260
- NPI assigned
- Sep 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Mrs. Katlyn Bass, D.C.
- Title
- Chiropractor
- Phone
- (763) 427-7869
Practitioners 2
-
Katlyn Marie Bass, D.C.
-
Ashley Johnson, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161024001099 | MN | Part B Supplier - Clinic/Group Practice | 3577841725 |
Receives reassigned benefits from 1 practitioner Practice locations: Anoka, MN |
National Provider Directory
Locations
1902 5th Ave
Ste 2
Anoka, MN 55303
Phone (763) 427-7869
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Yes |
Addresses
Primary practice location
1902 5TH Ave
Suite 2
Anoka, MN 55303-2578
Mailing address
1902 5TH Ave
Suite 2
Anoka, MN 55303-2578
Phone (763) 427-7869
Other providers in Anoka, MN
- Lydia Anderson
- Davika Serene Annis
- Anoka Cares Transportation LLC
- Anoka Chiropractic, P.a.
- Anoka Dental PLLC
- Anoka Metro Regional Treatment Center
- Anoka Metro Regional Treatment Center
- Anoka Metro Regional Treatment Center
- Anoka-Andover Chiropractic, PA
- Anoka-Hennepin Isd#11
All providers in Anoka, MN · Medical Specialty Clinic/Center in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.