Organization Active NPI

Lake Pointe Chiropractic Centre

Doing business as Lake Pointe Chiropractic & Wellness

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1154453892
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAKE POINTE CHIROPRACTIC CENTRE
Doing business as
Lake Pointe Chiropractic & Wellness
Practice address
5000 W 36TH St Ste 120
Minneapolis, MN 55416-2758
Phone
(612) 922-8100
NPI assigned
Mar 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carrie Getzmier, D.C.NPI 1588759252
Title
President
Phone
(612) 922-8100

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
Chiropractor 111N00000X Primary

Addresses

Primary practice location

5000 W 36TH St Ste 120
Minneapolis, MN 55416-2758

Mailing address

5000 W 36TH St Ste 120
Minneapolis, MN 55416-2758
Phone (612) 922-8100

Other identifiers 2

IdentifierTypeStateIssuer
18F89LAOtherMNBCBS MN
75250OtherMNHEALTH PARTNERS

Other names 1

  • Lake Pointe Chiropractic & Wellness Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040505001149 MN Part B Supplier - Clinic/Group Practice 2163410275 Receives reassigned benefits from 3 practitioners
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

5000 W 36th St
Ste 120
St Louis Park, MN 55416
Phone (612) 615-7397

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154453892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162758",
            "telephone_number": "612-922-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 W 36TH ST STE 120",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554162758",
            "telephone_number": "612-922-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE POINTE CHIROPRACTIC CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GETZMIER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-922-8100",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MN",
            "identifier": "18F89LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "75250",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake Pointe Chiropractic & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.