NPIMap

Organization Active NPI

Northeast Chiropractic PLLC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1205370285
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NORTHEAST CHIROPRACTIC PLLC
Practice address
34 13TH Ave NE Ste 109
Minneapolis, MN 55413-1007
Phone
(612) 378-1050
Fax
(612) 378-1051
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Dr. Travis Myron Shermer, DCNPI 1568904308
Title
Owner
Phone
(651) 394-2280

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 Primary

Addresses

Primary practice location

34 13TH Ave NE Ste 109
Minneapolis, MN 55413-1007

Mailing address

34 13TH Ave NE Ste 109
Minneapolis, MN 55413-1007
Phone (612) 378-1050

Other names 1

  • Lyn Lake Chiropractic Northeast Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251002002046 MN Part B Supplier - Clinic/Group Practice 2860914413 Receives reassigned benefits from 3 practitioners
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

34 13th Ave NE
#B2C
Minneapolis, MN 55413

34 13th Ave NE
Ste 109
Minneapolis, MN 55413
Phone (612) 378-1050

Practitioners & affiliated clinicians

Practitioners 5

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": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1205370285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 13TH AVE NE STE 109",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131007",
            "telephone_number": "612-378-1050",
            "fax_number": "612-378-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 13TH AVE NE STE 109",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554131007",
            "telephone_number": "612-378-1050",
            "fax_number": "612-378-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "SHERMER",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "MYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-394-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lyn Lake Chiropractic Northeast",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2026; 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.