Active NPI
Healing Choices LLC
- Clinic/Center
- Elk River, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 3500
- Legal business name
- HEALING CHOICES LLC
- Practice address
- 200 5TH St NW
Elk River, MN 55330-1917 - Phone
- (763) 241-5436
- NPI assigned
- Mar 25, 2008
- 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
- Dr. John William Larson, DC
- Title
- Owner
- Phone
- (763) 241-5436
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 3500 | MN | Primary |
Addresses
Primary practice location
200 5TH St NW
Elk River, MN 55330-1917
Mailing address
18140 Zane St NW # 303
Elk River, MN 55330-4505
Phone (763) 241-5436
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 407660000 | Medicaid | MN | |
| C03743 | Other | MN | MEDICARE LEGACY |
| DG5136 | Other | GA | RAILROAD MEDICARE |
| 132M0HE | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
221 Main St NW
Ste E
Elk River, MN 55330
Phone (763) 241-5436
18140 Zane St NW
Elk River, MN 55330
Phone (612) 293-0427
19021 Freeport St NW
Ste 500
Elk River, MN 55330
Phone (763) 241-5436
231 Main St NW
Elk River, MN 55330
Phone (763) 241-5436
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nutrition Chiropractor
- Woodbury, MN
- NPI 1285642975
-
- Chiropractor
- Elk River, MN
- NPI 1932998465
-
- Chiropractor
- Elk River, MN
- NPI 1144715236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1523577600000",
"number": "1275705758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18140 ZANE ST NW # 303",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553304505",
"telephone_number": "763-241-5436",
"fax_number": "763-241-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 5TH ST NW",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553301917",
"telephone_number": "763-241-5436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING CHOICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-25",
"last_updated": "2018-04-13",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-241-5436",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MN",
"license": "3500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407660000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE LEGACY",
"identifier": "C03743",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG5136",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "132M0HE",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; 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.