Organization Active NPI

Principled Living PA

  • Chiropractor
  • New Hope, MN
National Provider Identifier
1164927273
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6364 Issued in MN
Legal business name
PRINCIPLED LIVING PA
Practice address
9405 36TH Ave N Ste B
New Hope, MN 55427-1776
Phone
(763) 275-9099
Fax
(763) 275-9095
NPI assigned
Mar 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Authorized official

Name
Dr. Samuel Rinehart, DCNPI 1336675230
Title
Owner
Phone
(763) 275-9099

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 6364 MN Primary

Addresses

Primary practice location

9405 36TH Ave N Ste B
New Hope, MN 55427-1776

Mailing address

9405 36TH Ave N Ste B
New Hope, MN 55427-1776
Phone (763) 275-9099

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180529000980 MN Part B Supplier - Clinic/Group Practice 1759646565 Receives reassigned benefits from 1 practitioner
Practice locations: New Hope, MN

National Provider Directory

National Provider Directory

Locations

9405 36th Ave N
Ste B
New Hope, MN 55427
Phone (763) 275-9099

Practitioners & affiliated clinicians

Practitioners 4

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": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1164927273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 36TH AVE N STE B",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271776",
            "telephone_number": "763-275-9099",
            "fax_number": "763-275-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 36TH AVE N STE B",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271776",
            "telephone_number": "763-275-9099",
            "fax_number": "763-275-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPLED LIVING PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "RINEHART",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-275-9099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hope, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.