NPIMap

Organization Active NPI

Betzina Clinics , LLC

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1205083540
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4946 Issued in MN
Legal business name
BETZINA CLINICS , LLC
Practice address
7644 160TH St. West
Lakeville, MN 55044
Phone
(952) 985-5444
Fax
(952) 314-4963
NPI assigned
Aug 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Dr. Ryan Michael Betzina, D.C.NPI 1235350109
Title
Owner
Phone
(952) 985-5444

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 4946 MN Primary

Addresses

Primary practice location

7644 160TH St. West
Lakeville, MN 55044

Mailing address

7644 160TH St West
Lakeville, MN 55044
Phone (952) 985-5444

Other names 1

  • Alpha Spine Health & Injury Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081008000488 MN Part B Supplier - Clinic/Group Practice 1052489770 Receives reassigned benefits from 2 practitioners
Practice locations: Lakeville, MN

National Provider Directory

National Provider Directory

Locations

20520 Keokuk Ave
Ste 130
Lakeville, MN 55044
Phone (952) 985-5444

7644 160th St W
Lakeville, MN 55044
Phone (952) 985-5444

Practitioners & affiliated clinicians

Practitioners 7

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": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1205083540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7644 160TH ST WEST",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "55044",
            "telephone_number": "952-985-5444",
            "fax_number": "952-314-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7644 160TH ST. WEST",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "55044",
            "telephone_number": "952-985-5444",
            "fax_number": "952-314-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETZINA CLINICS , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "BETZINA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-985-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Spine Health & Injury Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alpha Spine Health & Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.