Individual provider Active NPI

Lindsay Lee Daniels, DC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1447496872
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5162 Issued in MN
Practice address
4101 W Broadway Ave Ste D
Minneapolis, MN 55422-1859
Phone
(763) 533-9997
Fax
(763) 533-6058
NPI assigned
Jan 7, 2009
Last updated
Mar 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5162 MN Primary

Addresses

Primary practice location

4101 W Broadway Ave Ste D
Minneapolis, MN 55422-1859

Mailing address

4101 W Broadway Ave Ste D
Minneapolis, MN 55422-1859
Phone (763) 533-9997

Other identifiers 1

IdentifierTypeStateIssuer
5162OtherMNSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100519000804 MN Practitioner - Chiropractic 1355470956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Believe to Achieve Chiropractic P.a.Group PAC ID 2668630823, 2 clinicians

Practice addresses (Care Compare)

4101 W Broadway Ave
Suite D
Robbinsdale, MN 55422-1859
Phone (763) 533-9997

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5162MNMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Believe to Achieve Chiropractic P.a. Chiropractor CurrentSince Jan 1, 2012 Accepting new patients
Town Center Chiropractic, P.C. Chiropractor PastSince Jan 1, 2012 Accepting new patients

Locations

4101 W Broadway Ave
Ste D
Robbinsdale, MN 55422
Phone (763) 533-9997

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332288000000",
    "number": "1447496872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 W BROADWAY AVE STE D",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554221859",
            "telephone_number": "763-533-9997",
            "fax_number": "763-533-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 W BROADWAY AVE STE D",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554221859",
            "telephone_number": "763-533-9997",
            "fax_number": "763-533-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "LINDSAY",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2012-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "5162",
            "state": "MN"
        }
    ],
    "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 Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.