Organization Active NPI

Kinetic Chiropractic & Healing Arts

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1396998795
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4955 Issued in MN
Legal business name
KINETIC CHIROPRACTIC & HEALING ARTS
Practice address
5415 Nicollet Ave
Minneapolis, MN 55419-1927
Phone
(612) 824-3141
Fax
(888) 349-7109
NPI assigned
Oct 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Dr. Alex B Lanning, D.C.NPI 1750553343
Title
President
Phone
(612) 824-3141

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4955 MN Primary

Addresses

Primary practice location

5415 Nicollet Ave
Minneapolis, MN 55419-1927

Mailing address

5415 Nicollet Ave
Minneapolis, MN 55419-1927
Phone (612) 824-3141

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110929000060 MN Part B Supplier - Clinic/Group Practice 8628249364 Receives reassigned benefits from 1 practitioner
Practice locations: Minneapolis, MN

National Provider Directory

National Provider Directory

Locations

227 Colfax Ave N
Ste 100
Minneapolis, MN 55405
Phone (612) 824-3141

319 W 48th St
Minneapolis, MN 55419
Phone (612) 824-3141

5415 Nicollet Ave
Minneapolis, MN 55419
Phone (612) 556-9544

Practitioners & affiliated clinicians

Practitioners 1

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": "1225238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1396998795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5415 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191927",
            "telephone_number": "612-824-3141",
            "fax_number": "888-349-7109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5415 NICOLLET AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554191927",
            "telephone_number": "612-824-3141",
            "fax_number": "888-349-7109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINETIC CHIROPRACTIC & HEALING ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-29",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "LANNING",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-824-3141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.