Organization Active NPI

Leno Chiropractic Clinic LTD

  • Clinic/Center
  • Cloquet, MN
National Provider Identifier
1306144100
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1939925 Issued in MN
Legal business name
LENO CHIROPRACTIC CLINIC LTD
Practice address
123 Avenue C
Cloquet, MN 55720-1563
Phone
(218) 879-1556
Fax
(218) 879-1568
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Kayla Beth Ellison, DCNPI 1013314418
Title
President
Phone
(218) 879-1556

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X
Clinic/Center 261Q00000X 1939925 MN Primary

Addresses

Primary practice location

123 Avenue C
Cloquet, MN 55720-1563

Mailing address

123 Avenue C
Cloquet, MN 55720-1563
Phone (218) 879-1556

Other names 1

  • Ellison Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110414000540 MN Part B Supplier - Clinic/Group Practice 0648454744 Receives reassigned benefits from 2 practitioners
Practice locations: Cloquet, MN

National Provider Directory

National Provider Directory

Locations

123 Avenue C
Cloquet, MN 55720
Phone (218) 310-4271

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": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1306144100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201563",
            "telephone_number": "218-879-1556",
            "fax_number": "218-879-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 AVENUE C",
            "city": "CLOQUET",
            "state": "MN",
            "postal_code": "557201563",
            "telephone_number": "218-879-1556",
            "fax_number": "218-879-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENO CHIROPRACTIC CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-879-1556",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "1939925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellison Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cloquet, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.