Pinnacle Chiropractic and Acupuncture, PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4573 Issued in MN

Legal business name

PINNACLE CHIROPRACTIC AND ACUPUNCTURE, PA

Practice address

3021 Harbor LN N
Suite 109
Plymouth, MN 55447-5109

Phone

(763) 544-3811

Fax

(763) 544-9989

NPI assigned

Jun 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Kelm, DCNPI 1619057007

Title

President

Phone

(763) 544-3811

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Kenneth Kelm, D.C.

  • Chiropractor
  • St Louis Park, MN
  • NPI 1619057007
  NPD (past) Authorized official

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164626230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 HARBOR LN N",
            "address_2": "SUITE 109",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475109",
            "telephone_number": "763-544-3811",
            "fax_number": "763-544-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 HARBOR LN N",
            "address_2": "SUITE 109",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475109",
            "telephone_number": "763-544-3811",
            "fax_number": "763-544-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE CHIROPRACTIC AND ACUPUNCTURE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELM",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-544-3811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4573",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS ID",
            "identifier": "104237",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID FOR BCBS",
            "identifier": "378L8KE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "378L7PI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan L Pickering
• Rebecca Pierce, LADC
• Nicholas Pierson, MA, LMFT
• Katlin Ann Pieters
• Kara Elaine Pilon Reil, M.A., LPCC
• Pinnacle Dermatology, SC
• Jessica L. Pishney, PSYD, LP
• Laron Ploederer, D.C.
• Jacob Plummer
• Plymouth Chirocenter LLC

• Chiropractor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Chiropractor in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.