St Lukes Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ST LUKES CHIROPRACTIC

Practice address

3220 Bridge St NW Ste 108
Saint Francis, MN 55070-8631

Phone

(763) 452-0171

Fax

(651) 391-2077

NPI assigned

Mar 18, 2021

Organization subpart

No

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

Authorized official

Name

Gregory Michael McDonnell, DCNPI 1619119138

Title

Owner/Doctor

Phone

(763) 452-0171

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory Michael McDonnell, DC

  • Chiropractor
  • Saint Francis, MN
  • NPI 1619119138
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1235715574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28803 DAHLIA DR NW",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550406331",
            "telephone_number": "608-957-6222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 BRIDGE ST NW STE 108",
            "city": "SAINT FRANCIS",
            "state": "MN",
            "postal_code": "550708631",
            "telephone_number": "763-452-0171",
            "fax_number": "651-391-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-18",
        "last_updated": "2023-11-30",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "763-452-0171",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lia Patrice Seidl
• Mark A Shoemaker, PA-C,SA-C
• Ashley Snyder, DC
• St Francis Dental Care PA
• St Francis Lawn and Snow
• Stephanie Ewals Nutritional Therapy
• Angela Stiebinger
• Erica Talbot
• Edward Temp
• Kayla Truh

• Chiropractor in Saint Francis, MN
• Providers in Saint Francis, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.