Organization Active NPI

Saint Paul Chiropractic PLLC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1265061709
Registry record updated Apr 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SAINT PAUL CHIROPRACTIC PLLC
Practice address
91 Snelling Ave N Ste 220
Saint Paul, MN 55104-6756
Phone
(651) 493-4578
NPI assigned
Apr 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2020

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

Authorized official

Name
Dr. Kevin Joseph Schreifels, DCNPI 1245315399
Title
Owner - Chiropractor
Phone
(651) 493-4578

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

91 Snelling Ave N Ste 220
Saint Paul, MN 55104-6756

Mailing address

91 Snelling Ave N Ste 220
Saint Paul, MN 55104-6756
Phone (651) 493-4578

Other names 1

  • Lyn Lake Chiropractic St Paul Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200428000715 MN Part B Supplier - Clinic/Group Practice 0446680763 Receives reassigned benefits from 2 practitioners
Practice locations: Saint Paul, MN

National Provider Directory

National Provider Directory

Locations

91 Snelling Ave N
Ste 220
Saint Paul, MN 55104
Phone (651) 493-4578

Practitioners & affiliated clinicians

Practitioners 3

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": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1265061709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SNELLING AVE N STE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046756",
            "telephone_number": "651-493-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 SNELLING AVE N STE 220",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551046756",
            "telephone_number": "651-493-4578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT PAUL CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "SCHREIFELS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER - CHIROPRACTOR",
        "authorized_official_telephone_number": "651-493-4578",
        "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 St Paul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.