Connor Reed Ginder, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6829 Issued in MN

Practice address

4717 Clark Ave
White Bear Lake, MN 55110-3221

Phone

(651) 762-8040

NPI assigned

Mar 24, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Clinic, P.a.

  • Rehabilitation Chiropractor
  • St Louis Park, MN
  • NPI 1023296167
  NPD

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1407433899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 HIGHWAY 7 APT 124",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162391",
            "telephone_number": "541-654-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 CLARK AVE",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103221",
            "telephone_number": "651-762-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINDER",
        "first_name": "CONNOR",
        "middle_name": "REED",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gem Health Specialty Sleep Services of Texas PA
• Gem Health Specialty Sleep Services PA
• Gem Health Specialty Sleep Services PA (GEM DME Health)
• Catherine Jean Gerth, LMFT
• Janice Louise Gillen
• Sharinea Givens
• Samantha Lynn Godfrey
• Ruth M Goehle, M.D.
• Mikhail Golben, DPT
• Golden Elderly Care Suites LLC

• Chiropractor in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.