Lantz Chiropractic, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4303 Issued in MN

Legal business name

LANTZ CHIROPRACTIC, PA

Practice address

3440 Federal Dr
Suite 120
Eagan, MN 55122-3501

Phone

(612) 584-0220

Fax

(651) 403-5643

NPI assigned

May 9, 2012

Organization subpart

No

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

Authorized official

Name

Nicole Kristin Lantz, DCNPI 1952410045

Title

Owner

Phone

(612) 584-0220

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Nicole Kristin Lantz, D.C.

  • Chiropractor
  • Burnsville, MN
  • NPI 1952410045
  Medicare reassignment NPD Authorized official
• Amber Lea Miller, D.C.

  • Chiropractor
  • Eagan, MN
  • NPI 1598075376
  NPD

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1497014500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR",
            "address_2": "SUITE 120",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223501",
            "telephone_number": "612-584-0220",
            "fax_number": "651-403-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 FEDERAL DR",
            "address_2": "SUITE 120",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223501",
            "telephone_number": "612-584-0220",
            "fax_number": "651-403-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANTZ CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "LANTZ",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "KRISTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-584-0220",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "4303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265400800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lakes Area Health Center, PLLC (Ottomeyer Clinics)
• Laura Lynn Lammar-Binder, MA, LMFT
• Jennifer Landry, LGSW
• Lindsay Marie Lankford, PT
• Jonathan Lanthier, PHARMD, RPH
• Christopher Michael Laprade, MD
• Melissa Anne Lapray
• Cece Annetta Larmouth
• Kaci Lynn Larson, PA-C
• Leah Larson

• Clinic/Center in Eagan, MN
• Providers in Eagan, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.