Individual provider Active NPI

Nikolai Alenov II, D.C.

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1184784993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4250 Issued in MN
Practice address
7650 Currell Blvd
Ste. 330
Woodbury, MN 55125-2257
Phone
(651) 738-7800
Fax
(651) 738-9501
NPI assigned
Dec 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4250 MN Primary

Addresses

Primary practice location

7650 Currell Blvd
Ste. 330
Woodbury, MN 55125-2257

Mailing address

7650 Currell Blvd
Ste. 330
Woodbury, MN 55125-2257
Phone (651) 738-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4250MNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitality Wellness PA PastSince May 10, 2020 Accepting new patients
Alenov Wellness Center, Inc. Chiropractor Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184784993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7650 CURRELL BLVD",
            "address_2": "STE. 330",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252257",
            "telephone_number": "651-738-7800",
            "fax_number": "651-738-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 CURRELL BLVD",
            "address_2": "STE. 330",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252257",
            "telephone_number": "651-738-7800",
            "fax_number": "651-738-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALENOV",
        "first_name": "NIKOLAI",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.