Organization Active NPI

Spinal Motion Chiropractic PLLC

  • Chiropractor
  • Edina, MN
National Provider Identifier
1275835589
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5164 Issued in MN
Legal business name
SPINAL MOTION CHIROPRACTIC PLLC
Practice address
6550 York Ave S
Suite 515
Edina, MN 55435-2347
Phone
(651) 230-5355
Fax
(952) 926-8155
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Dr. Jeffrey Kyle Elliot, D.C.NPI 1710127394
Title
Owner
Phone
(952) 210-9310

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 5164 MN Primary

Addresses

Primary practice location

6550 York Ave S
Suite 515
Edina, MN 55435-2347

Mailing address

6550 York Ave S
Suite 515
Edina, MN 55435-2347
Phone (651) 230-5355

National Provider Directory

National Provider Directory

Locations

6550 York Ave S
Ste 515
Minneapolis, MN 55435
Phone (651) 230-5355

Practitioners & affiliated clinicians

Practitioners 1

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": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1275835589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 YORK AVE S",
            "address_2": "SUITE 515",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352347",
            "telephone_number": "651-230-5355",
            "fax_number": "952-926-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 YORK AVE S",
            "address_2": "SUITE 515",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352347",
            "telephone_number": "651-230-5355",
            "fax_number": "952-926-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL MOTION CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "ELLIOT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-210-9310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.