Organization Active NPI

Houda Chiropractic Clinic Inc

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1124378633
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HOUDA CHIROPRACTIC CLINIC INC
Practice address
115 E Lake St
202
Minneapolis, MN 55408-3115
Phone
(612) 822-9000
NPI assigned
Sep 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Authorized official

Name
Dr. Malika Moukrim, DC
Title
Chiropractor
Phone
(952) 649-2109

Specialties & licenses 1

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

Addresses

Primary practice location

115 E Lake St
202
Minneapolis, MN 55408-3115

Mailing address

12826 Nicollet Ave
202
Burnsville, MN 55337-2822
Phone (952) 649-2109

National Provider Directory

National Provider Directory

Locations

115 E Lake St
Ste 202
Minneapolis, MN 55408
Phone (612) 822-9000

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1124378633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12826 NICOLLET AVE",
            "address_2": "202",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372822",
            "telephone_number": "952-649-2109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E LAKE ST",
            "address_2": "202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083115",
            "telephone_number": "612-822-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUDA CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "MOUKRIM",
        "authorized_official_first_name": "MALIKA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "952-649-2109",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; 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.