Lake Minnetonka Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LAKE MINNETONKA CHIROPRACTIC LLC

Practice address

3701 Shoreline Dr Ste 100a
Wayzata, MN 55391-9543

Phone

(612) 442-5349

NPI assigned

May 7, 2022

Organization subpart

No

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

Authorized official

Name

Michelle Neubauer, DCNPI 1689310476

Title

Owner

Phone

(612) 442-5349

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michelle Neubauer, DC

  • Chiropractor
  • Wayzata, MN
  • NPI 1689310476
  NPD Authorized official

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

{
    "created_epoch": "1651881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1104562602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N ARM DR",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553649785",
            "telephone_number": "612-442-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 SHORELINE DR STE 100A",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553919543",
            "telephone_number": "612-442-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MINNETONKA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-07",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "NEUBAUER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-442-5349",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josh Kruize
• Christopher Kruthoff, OD
• Carol Lee Kuster, PH.D., L.P.
• Kathy Jo Labowitch, WELLNESS TECHNICIAN
• Denise Berry Lacher, LP
• Lake Minnetonka Dental
• Lake Minnetonka Dental Center PLLC
• Lakes Counseling, Coaching and Consulting
• Lakeshore Family Therapy LLC
• Leigh Lambrecht, RN, CNP

• Chiropractor in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.