NPIMap

Organization Active NPI

Inspired Chiropractic

  • Chiropractor
  • Bayport, MN
National Provider Identifier
1447430228
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4390 Issued in MN
Legal business name
INSPIRED CHIROPRACTIC
Practice address
210 3Rd St N
Bayport, MN 55003-1027
Phone
(651) 351-5057
Fax
(651) 351-3198
NPI assigned
Nov 8, 2007
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Scott H Edlin, DCNPI 1861521544
Title
President/Owner
Phone
(651) 351-5070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4390 MN Primary

Addresses

Primary practice location

210 3Rd St N
Bayport, MN 55003-1027

Mailing address

210 3Rd St N
Bayport, MN 55003-1027
Phone (651) 351-5057

Other identifiers 2

IdentifierTypeStateIssuer
99M88INOtherMNBCBS OF MN
224645OtherMNHEALTHPARTNERS

National Provider Directory

National Provider Directory

Locations

287 Central Ave
Bayport, MN 55003
Phone (651) 351-5070

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.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1447430228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 3RD ST N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031027",
            "telephone_number": "651-351-5057",
            "fax_number": "651-351-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 3RD ST N",
            "city": "BAYPORT",
            "state": "MN",
            "postal_code": "550031027",
            "telephone_number": "651-351-5057",
            "fax_number": "651-351-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "EDLIN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "651-351-5070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "99M88IN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "224645",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayport, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.