Individual provider Active NPI

Amber Jade Avery, DC

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1285264143
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6590 Issued in MN
Practice address
12400 Pillsbury Ave S
Burnsville, MN 55337-3835
Phone
(952) 890-9055
NPI assigned
Jan 20, 2020
Last updated
Jan 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6590 MN Primary

Addresses

Primary practice location

12400 Pillsbury Ave S
Burnsville, MN 55337-3835

Mailing address

13613 Country LN
Burnsville, MN 55337-4133
Phone (952) 237-9699

Other practice location 1

13613 Country Ln
Burnsville, MN 55337-4133
Phone (952) 237-9699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6590MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health for Living Chiropractic PC Chiropractor CurrentSince Jan 26, 2020 Accepting new patients

Locations

12400 Pillsbury Ave S
Burnsville, MN 55337
Phone (952) 237-9359

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1285264143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13613 COUNTRY LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374133",
            "telephone_number": "952-237-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 PILLSBURY AVE S",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553373835",
            "telephone_number": "952-890-9055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13613 Country Ln",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "MN",
            "postal_code": "553374133",
            "country_code": "US",
            "telephone_number": "952-237-9699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AVERY",
        "first_name": "AMBER",
        "middle_name": "JADE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.