Individual provider Active NPI

Carly Furney, D.C.

  • Chiropractor
  • Ham Lake, MN
National Provider Identifier
1245743210
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6419 Issued in MN
Practice address
14148 Lincoln St NE
Ham Lake, MN 55304-4651
Phone
(612) 440-8270
NPI assigned
Nov 13, 2017
Last updated
Nov 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6419 MN Primary

Addresses

Primary practice location

14148 Lincoln St NE
Ham Lake, MN 55304-4651

Mailing address

14592 Alabama Ave S
Savage, MN 55378-2830
Phone (612) 201-4474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180403001788 MN Practitioner - Chiropractic 3971865957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Made 2 Move Chiropractic and Wellness PLLCGroup PAC ID 1153683123, 2 clinicians

Practice addresses (Care Compare)

13654 Van Buren St NE
Suite 200
Ham Lake, MN 55304-4366
Phone (763) 400-3872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6419MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Made 2 Move Chiropractic & Wellness PLLC Chiropractor CurrentSince Feb 17, 2018 Accepting new patients

Locations

13654 Van Buren St NE
Ste 200
Ham Lake, MN 55304
Phone (763) 400-3872

14148 Lincoln St NE
Ham Lake, MN 55304
Phone (612) 440-8270

Organizations & group practices 1

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": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1245743210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14592 ALABAMA AVE S",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782830",
            "telephone_number": "612-201-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14148 LINCOLN ST NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553044651",
            "telephone_number": "612-440-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURNEY",
        "first_name": "CARLY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ham Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.