Organization Active NPI

Acupuncture Ayurvedic Chiropractic Clinic, LTD

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1154654655
Registry record updated Sep 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1649 Issued in MN
Legal business name
ACUPUNCTURE AYURVEDIC CHIROPRACTIC CLINIC, LTD
Practice address
624 W 54TH St
Minneapolis, MN 55419-1755
Phone
(612) 871-7190
NPI assigned
Sep 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2009

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

Authorized official

Name
Dr. Frank Heller, D.C
Title
Chiropractor
Phone
(612) 871-7190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1649 MN Primary

Addresses

Primary practice location

624 W 54TH St
Minneapolis, MN 55419-1755

Mailing address

624 W 54TH St
Minneapolis, MN 55419-1755

Other identifiers 1

IdentifierTypeStateIssuer
1D522027100MedicaidMN

National Provider Directory

National Provider Directory

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": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1154654655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 W 54TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 W 54TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191755",
            "telephone_number": "612-871-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACUPUNCTURE AYURVEDIC CHIROPRACTIC CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "612-871-7190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1D522027100",
            "state": "MN"
        }
    ],
    "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 15, 2009; 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.