Active NPI
Abdiasis Inshar, DC
- Chiropractor
- Minneapolis, MN
National Provider Identifier
1457111403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7140
- Practice address
- 1813 E Lake St
Minneapolis, MN 55407-1835 - Phone
- (612) 746-5557
- NPI assigned
- Mar 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7140 | MN | Primary |
Addresses
Primary practice location
1813 E Lake St
Minneapolis, MN 55407-1835
Mailing address
1500 Nicollet Ave
Minneapolis, MN 55403-2705
Phone (612) 501-9852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250224003126 | MN | Practitioner - Chiropractic | 4880114685 | Practice locations: Minneapolis, MN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7140 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Health of South Minneapolis LTD | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Minneapolis, MN
- NPI 1194912444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1457111403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 NICOLLET AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554032705",
"telephone_number": "612-501-9852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1813 E LAKE ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071835",
"telephone_number": "612-746-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INSHAR",
"first_name": "ABDIASIS",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "7140",
"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 Mar 21, 2024; 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.