Alec Jon Nassirzadeh, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6877 Issued in MN

Practice address

11820 Ulysses St NE
Suite 104
Blaine, MN 55434

Phone

(763) 330-1100

Fax

(763) 330-1102

NPI assigned

Aug 16, 2021

Last updated

Sep 1, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Evolve Chiropractic LLC

  • Chiropractor
  • Blaine, MN
  • NPI 1821763434
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1285309898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 MARKET ST UNIT 611",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554051685",
            "telephone_number": "763-330-1100",
            "fax_number": "763-330-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 ULYSSES ST NE",
            "address_2": "SUITE 104",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "55434",
            "telephone_number": "763-330-1100",
            "fax_number": "763-330-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASSIRZADEH",
        "first_name": "ALEC",
        "middle_name": "JON",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MW Minnetonka Operating LLC (Landings of Blaine)
• Boniface Mwangi
• Jessica Leigh Naiberg, MS OTR/L
• Monyka Grace Naide
• Naimo Osman (Inner Quest LLC)
• Arif Nazir, B.D.S.
• Philip James Nehl, RPH
• Jessie Lauren Nelson, PA-C
• Kyra Louise Nelson
• Matthew R Nelson, DDS

• Chiropractor in Blaine, MN
• Providers in Blaine, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.