Organization Active NPI

Pathways Chiropractic Health Center of Savage, P.a.

  • Chiropractor
  • Savage, MN
National Provider Identifier
1508984105
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3613 Issued in MN
Legal business name
PATHWAYS CHIROPRACTIC HEALTH CENTER OF SAVAGE, P.A.
Practice address
14233 Oconnell CT Ste 500
Savage, MN 55378-2860
Phone
(952) 226-5502
Fax
(952) 226-5504
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Mr. Kenneth Randall Barnett, D.C.
Title
Doctor/Owner
Phone
(952) 226-5502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3613 MN Primary

Addresses

Primary practice location

14233 Oconnell CT Ste 500
Savage, MN 55378-2860

Mailing address

14233 Oconnell CT Ste 500
Savage, MN 55378-2860
Phone (952) 226-5502

Other identifiers 1

IdentifierTypeStateIssuer
4410386-00MedicaidMN

National Provider Directory

National Provider Directory

Locations

14247 Oconnell Ct
Ste 275
Savage, MN 55378
Phone (952) 226-5502

14233 Oconnell Ct
Ste 500
Savage, MN 55378
Phone (952) 226-5002

Practitioners & affiliated clinicians

Practitioners 4

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": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1508984105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14233 OCONNELL CT STE 500",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782860",
            "telephone_number": "952-226-5502",
            "fax_number": "952-226-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14233 OCONNELL CT STE 500",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782860",
            "telephone_number": "952-226-5502",
            "fax_number": "952-226-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS CHIROPRACTIC HEALTH CENTER OF SAVAGE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "RANDALL",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "952-226-5502",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3613",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4410386-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.