Organization Active NPI

Thrive Chiropractic & Health LLC

  • Chiropractor
  • Burnsville, MN
National Provider Identifier
1457081275
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THRIVE CHIROPRACTIC & HEALTH LLC
Practice address
511 County Road 42 E
Burnsville, MN 55306-4523
Phone
(612) 720-7436
NPI assigned
Jun 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Authorized official

Name
Megan NelsenNPI 1467797308
Title
President
Phone
(612) 720-7436

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 Primary

Addresses

Primary practice location

511 County Road 42 E
Burnsville, MN 55306-4523

Mailing address

7061 Territory Pass
Lakeville, MN 55044-6120
Phone (612) 720-7436

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220802003538 MN Part B Supplier - Clinic/Group Practice 5193107431 Receives reassigned benefits from 1 practitioner
Practice locations: Burnsville, MN

National Provider Directory

National Provider Directory

Locations

511 County Road 42 E
Burnsville, MN 55306
Phone (612) 720-7436

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": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1457081275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7061 TERRITORY PASS",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446120",
            "telephone_number": "612-720-7436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 COUNTY ROAD 42 E",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064523",
            "telephone_number": "612-720-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE CHIROPRACTIC & HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A",
        "authorized_official_last_name": "NELSEN",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-720-7436"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.