Active NPI
Abundant Life Chiropractic Health Center PA
- Health Maintenance Organization
- Chanhassen, MN
National Provider Identifier
1265821706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- License
- 6026
- 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, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Adam Knight, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Chanhassen, MN
- NPI 1013306083
-
- Chiropractor
- Chaska, MN
- NPI 1700907672
-
- Chiropractor
- Wayzata, MN
- NPI 1497153852
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.