Organization Active NPI

Inner Strength Chiropractic, LLC

  • Chiropractor
  • Rochester, MN
National Provider Identifier
1275769820
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5119 Issued in MN
Legal business name
INNER STRENGTH CHIROPRACTIC, LLC
Practice address
2625 Highway 14 W
Suite B
Rochester, MN 55901-7597
Phone
(507) 208-4538
Fax
(507) 208-4539
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Authorized official

Name
Dr. Edward S Lequire, D.C.NPI 1124161989
Title
Owner
Phone
(507) 206-9340

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 5119 MN Primary

Addresses

Primary practice location

2625 Highway 14 W
Suite B
Rochester, MN 55901-7597

Mailing address

2625 Highway 14 W
Suite B
Rochester, MN 55901-7597
Phone (507) 208-4538

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090916000377 MN Part B Supplier - Clinic/Group Practice 0941356943 Receives reassigned benefits from 2 practitioners
Practice locations: Rochester, MN

National Provider Directory

National Provider Directory

Locations

2625 Highway 14 W
Ste B
Rochester, MN 55901
Phone (507) 208-4538

2518 Superior Dr NW
Ste 101B
Rochester, MN 55901
Phone (507) 287-6041

Practitioners & affiliated clinicians

Practitioners 2

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": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1275769820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 HIGHWAY 14 W",
            "address_2": "SUITE B",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017597",
            "telephone_number": "507-208-4538",
            "fax_number": "507-208-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 HIGHWAY 14 W",
            "address_2": "SUITE B",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559017597",
            "telephone_number": "507-208-4538",
            "fax_number": "507-208-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER STRENGTH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "LEQUIRE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-206-9340",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.