Individual provider Active NPI

Steven Ray Horbal, D.C.

  • Chiropractor
  • Golden Valley, MN
National Provider Identifier
1306928957
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2657 Issued in MN
Practice address
1710 Douglas Dr N Ste 222
Golden Valley, MN 55422-4327
Phone
(763) 544-9667
Fax
(763) 544-9823
NPI assigned
Oct 20, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2657 MN Primary

Addresses

Primary practice location

1710 Douglas Dr N Ste 222
Golden Valley, MN 55422-4327

Mailing address

1710 Douglas Dr N
Ste 222
Golden Valley, MN 55422-4327
Phone (763) 544-9667

Other identifiers 3

IdentifierTypeStateIssuer
62510HOOtherBCBS PROVIDER ID
333328100MedicaidMN
OB109HOOtherBCBS CLINIC/PRACTICE ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000049 MN Practitioner - Chiropractic 4082710389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1710 Douglas Dr N
Suite 222
Golden Valley, MN 55422-4387
Phone (763) 544-9667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
West Metro Chiropractic Clinic Chiropractor CurrentSince Jan 8, 1990 Accepting new patients

Locations

1710 Douglas Dr N
Ste 222
Minneapolis, MN 55422
Phone (763) 544-9667

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1306928957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N",
            "address_2": "STE 222",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224327",
            "telephone_number": "763-544-9667",
            "fax_number": "763-544-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 DOUGLAS DR N STE 222",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224327",
            "telephone_number": "763-544-9667",
            "fax_number": "763-544-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORBAL",
        "first_name": "STEVEN",
        "middle_name": "RAY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "62510HO",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333328100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CLINIC/PRACTICE ID",
            "identifier": "OB109HO",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.