Organization Active NPI

Centered Health Chiropractic P a

  • Chiropractor
  • Coon Rapids, MN
National Provider Identifier
1114284064
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5613 Issued in MN
Legal business name
CENTERED HEALTH CHIROPRACTIC P A
Practice address
9920 Foley Blvd NW Suite 140
Coon Rapids, MN 55433
Phone
(763) 710-5523
Fax
(763) 710-5532
NPI assigned
Apr 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Mr. Dillon Robert Sletten, D.CNPI 1841560109
Title
Owner Centered Health Chiropractic
Phone
(763) 710-5523

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 5613 MN Primary

Addresses

Primary practice location

9920 Foley Blvd NW Suite 140
Coon Rapids, MN 55433

Mailing address

9920 Foley Blvd NW Suite 140
Coon Rapids, MN 55433
Phone (763) 710-5523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120521000324 MN Part B Supplier - Clinic/Group Practice 6709049208 Receives reassigned benefits from 1 practitioner
Practice locations: Coon Rapids, MN

National Provider Directory

National Provider Directory

Locations

1425 Coon Rapids Blvd NW
Unit 200
Coon Rapids, MN 55433
Phone (612) 281-0898

1425 Coon Rapids Blvd NW
Ste 200
Coon Rapids, MN 55433
Phone (612) 802-2580

9920 Foley Blvd NW
Ste 140
Minneapolis, MN 55433
Phone (763) 710-5523

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": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1114284064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 FOLEY BLVD NW SUITE 140",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-710-5523",
            "fax_number": "763-710-5532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 FOLEY BLVD NW SUITE 140",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "55433",
            "telephone_number": "763-710-5523",
            "fax_number": "763-710-5532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED HEALTH CHIROPRACTIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "SLETTEN",
        "authorized_official_first_name": "DILLON",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER CENTERED HEALTH CHIROPRACTIC",
        "authorized_official_telephone_number": "763-710-5523",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.