Active NPI
Family Health Trust Inc
- Rehabilitation Chiropractor
- Minnetonka, MN
National Provider Identifier
1316086598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 1673
- Legal business name
- FAMILY HEALTH TRUST INC
- Practice address
- 12321 Minnetonka Blvd
Minnetonka, MN 55305-3964 - Phone
- (952) 933-4427
- NPI assigned
- Feb 5, 2007
- Last updated
- Sep 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kelly John Sheehan, DC
- Title
- Ceo
- Phone
- (952) 933-4427
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | 1673 | MN | Primary |
Addresses
Primary practice location
12321 Minnetonka Blvd
Minnetonka, MN 55305-3964
Mailing address
12321 Minnetonka Blvd
Minnetonka, MN 55305-3964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12321 Minnetonka Blvd
Minnetonka, MN 55305
Phone (952) 221-9729
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Minnetonka, MN
- NPI 1700073418
-
- Chiropractor
- Minnetonka, MN
- NPI 1215386263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190764800000",
"number": "1316086598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12321 MINNETONKA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12321 MINNETONKA BLVD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553053964",
"telephone_number": "952-933-4427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HEALTH TRUST INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2007-09-26",
"status": "A",
"authorized_official_last_name": "SHEEHAN",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "952-933-4427",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "MN",
"license": "1673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
- Facial Designs, P.a.
- Mary Beth Fagin, LICSW
- Fairview Express Care
- Kristine Nicole Falness
- Family Connections Counseling Center LLC (Family Connections)
- Family Hearing Solutions Ridge Square LLC (Family Hearing Solutions)
- Family Lifestyles, Counseling & Therapy
- Brook T Fantaw
- Fardosa Abdullah Farah
- Samiya Farah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.