Organization Active NPI

Soltis Family Chiropractic

  • Chiropractor
  • Waconia, MN
National Provider Identifier
1154520039
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SOLTIS FAMILY CHIROPRACTIC
Practice address
32 E Main St
Waconia, MN 55387-1113
Phone
(952) 442-9727
Fax
(952) 442-2031
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Mr. Jeffrey Lyle Soltis, D.C.NPI 1235268145
Title
Owner
Phone
(952) 442-9727

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 Primary

Addresses

Primary practice location

32 E Main St
Waconia, MN 55387-1113

Mailing address

32 E Main St
Waconia, MN 55387-1113
Phone (952) 442-9727

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041120000168 MN Part B Supplier - Clinic/Group Practice 4486619368 Receives reassigned benefits from 2 practitioners
Practice locations: Waconia, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1154520039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871113",
            "telephone_number": "952-442-9727",
            "fax_number": "952-442-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 E MAIN ST",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871113",
            "telephone_number": "952-442-9727",
            "fax_number": "952-442-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLTIS FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "SOLTIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "LYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-442-9727",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.