Organization Active NPI

Ae Chiropractic PA

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1124413893
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1459 Issued in MN
Legal business name
AE CHIROPRACTIC PA
Practice address
683 Bielenberg Dr Ste 104
Woodbury, MN 55125-1704
Phone
(651) 702-3322
NPI assigned
Mar 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Dr. Aaron Erhardt, DCNPI 1851639181
Title
Ceo/Owner of Ae Chiropractic
Phone
(701) 426-1162

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 1459 MN Primary

Addresses

Primary practice location

683 Bielenberg Dr Ste 104
Woodbury, MN 55125-1704

Mailing address

683 Bielenberg Dr Ste 104
Woodbury, MN 55125-1704
Phone (651) 702-3322

Other names 1

  • Reconnection Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150807014810 MN Part B Supplier - Clinic/Group Practice 1850605577 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, MN

National Provider Directory

National Provider Directory

Locations

683 Bielenberg Dr
Ste 104
Woodbury, MN 55125
Phone (651) 702-3322

1811 Weir Dr
Ste 140
Woodbury, MN 55125
Phone (651) 702-3322

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": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1124413893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 BIELENBERG DR STE 104",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251704",
            "telephone_number": "651-702-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 BIELENBERG DR STE 104",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551251704",
            "telephone_number": "651-702-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AE CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "ERHARDT",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO/OWNER OF AE CHIROPRACTIC",
        "authorized_official_telephone_number": "701-426-1162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reconnection Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.