Individual provider Active NPI

Alexandra Meyer, DC

  • Chiropractor
  • Waite Park, MN
National Provider Identifier
1306650163
Registry record updated Jun 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7309 Issued in MN
Practice address
209 3Rd St NE
Waite Park, MN 56387-1271
Phone
(320) 281-5243
NPI assigned
Feb 3, 2025
Last updated
Jun 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7309 MN Primary
Rehabilitation Chiropractor 111NR0400X 7309 MN

Addresses

Primary practice location

209 3Rd St NE
Waite Park, MN 56387-1271

Mailing address

10274 99TH St NE
Otsego, MN 55362-8100
Phone (651) 202-5080

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214003291 MN Practitioner - Chiropractic 3971033200 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7309MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Plymouth Chirocenter LLC Chiropractor CurrentSince Feb 12, 2025 Accepting new patients
Gerhardson Chiropractic LLC Chiropractor PastSince Jun 29, 2025 Accepting new patients

Locations

3900 Vinewood Ln N
Ste 19
Plymouth, MN 55441
Phone (763) 559-9236

Organizations & group practices 2

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": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750550400000",
    "number": "1306650163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10274 99TH ST NE",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553628100",
            "telephone_number": "651-202-5080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 3RD ST NE",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871271",
            "telephone_number": "320-281-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-06-22",
        "certification_date": "2025-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "7309",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "7309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; 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.