Organization Active NPI

Abundant Life Chiropractic Health Center PA

  • Health Maintenance Organization
  • Chanhassen, MN
National Provider Identifier
1265821706
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
6026 Issued in MN
Legal business name
ABUNDANT LIFE CHIROPRACTIC HEALTH CENTER PA
Practice address
7945 Stone Creek Dr Ste 120
Chanhassen, MN 55317-4606
Phone
(712) 389-4827
NPI assigned
Jan 21, 2015
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Benjamin Adam Knight, D.C.NPI 1013306083
Title
Owner/Operator
Phone
(712) 389-4827

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
Health Maintenance Organization 302R00000X 6026 MN Primary

Addresses

Primary practice location

7945 Stone Creek Dr Ste 120
Chanhassen, MN 55317-4606

Mailing address

7945 Stone Creek Dr Ste 120
Chanhassen, MN 55317-4606

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150505001198 MN Part B Supplier - Clinic/Group Practice 3577882042 Receives reassigned benefits from 3 practitioners
Practice locations: Chanhassen, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1265821706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR STE 120",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 STONE CREEK DR STE 120",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174606",
            "telephone_number": "712-389-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE CHIROPRACTIC HEALTH CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "712-389-4827",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": "6026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.