Organization Active NPI

Clear Health Chiropractic LLC

  • Chiropractor
  • St Louis Park, MN
National Provider Identifier
1326410416
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6108 Issued in MN
Legal business name
CLEAR HEALTH CHIROPRACTIC LLC
Practice address
5801 Cedar Lake Rd S Ste a
St Louis Park, MN 55416-1481
Phone
(612) 567-3550
NPI assigned
Oct 28, 2015
Last updated
Jul 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Dr. Erik Coombs, DCNPI 1124490297
Title
Owner
Phone
(612) 567-3550

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 6108 MN Primary

Addresses

Primary practice location

5801 Cedar Lake Rd S Ste a
St Louis Park, MN 55416-1481

Mailing address

5801 Cedar Lake Rd S Ste a
St Louis Park, MN 55416-1481
Phone (612) 567-3550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151109001981 MN Part B Supplier - Clinic/Group Practice 8426368101 Receives reassigned benefits from 1 practitioner
Practice locations: St Louis Park, MN

National Provider Directory

National Provider Directory

Locations

5614 W 36th St
St Louis Park, MN 55416
Phone (612) 567-3550

5801 Cedar Lake Rd S
#A
St Louis Park, MN 55416
Phone (612) 567-3550

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1326410416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 CEDAR LAKE RD S STE A",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161481",
            "telephone_number": "612-567-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 CEDAR LAKE RD S STE A",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161481",
            "telephone_number": "612-567-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-29",
        "status": "A",
        "authorized_official_last_name": "COOMBS",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-567-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.