Organization Active NPI

Lux Family Chiropractic

  • Chiropractor
  • White Bear Lake, MN
National Provider Identifier
1174186951
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LUX FAMILY CHIROPRACTIC
Practice address
1310 Highway 96 E Ste 118
White Bear Lake, MN 55110-3607
Phone
(651) 483-0140
NPI assigned
Apr 17, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Jenna Goldsmith, DCNPI 1518475573
Title
Owner/Chiropractor
Phone
(651) 483-0140

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

1310 Highway 96 E Ste 118
White Bear Lake, MN 55110-3607

Mailing address

1310 Highway 96 E Ste 118
White Bear Lake, MN 55110-3607
Phone (651) 483-0140

National Provider Directory

National Provider Directory

Locations

1310 Highway 96 E
Ste 118
White Bear Lake, MN 55110
Phone (612) 237-4408

Practitioners & affiliated clinicians

Practitioners 1

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": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1174186951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E STE 118",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103607",
            "telephone_number": "651-483-0140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 HIGHWAY 96 E STE 118",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103607",
            "telephone_number": "651-483-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUX FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-17",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "GOLDSMITH",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "651-483-0140",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.