Active NPI
Michael Patrick Hennes, D.C.
- Chiropractor
- Burnsville, MN
National Provider Identifier
1528478336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5928
- Practice address
- 14587 Grand Ave Ste 112
Burnsville, MN 55306 - Phone
- (952) 898-4450
- Fax
- (651) 925-0543
- NPI assigned
- May 1, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5928 | MN | Primary |
| Neurology Chiropractor | 111NN0400X | 5928 | MN |
Addresses
Primary practice location
14587 Grand Ave Ste 112
Burnsville, MN 55306
Mailing address
14587 Grand Ave Ste 112
Burnsville, MN 55306-5700
Phone (952) 486-8386
Other practice location 1
12358 River Ridge Blvd
Burnsville, MN 55337-1665
Phone (952) 681-7746
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5928 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Neural Connection Professional Corporation | Current | Accepting new patients | |
| Northwestern Health Sciences University | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Bloomington, MN
- NPI 1467147561
-
- Multi-Specialty Clinic/Center
- Bloomington, MN
- NPI 1124103544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1528478336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14587 GRAND AVE STE 112",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553065700",
"telephone_number": "952-486-8386",
"fax_number": "833-514-7290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14587 GRAND AVE STE 112",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "55306",
"telephone_number": "952-898-4450",
"fax_number": "651-925-0543"
}
],
"practiceLocations": [
{
"address_1": "12358 River Ridge Blvd",
"address_purpose": "LOCATION",
"city": "Burnsville",
"state": "MN",
"postal_code": "553371665",
"country_code": "US",
"telephone_number": "952-681-7746",
"fax_number": "952-681-7654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENNES",
"first_name": "MICHAEL",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-01",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5928",
"primary": true
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "MN",
"license": "5928",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "14587 Grand Ave Ste 112",
"city": "Burnsville",
"state": "MN",
"country_code": "US",
"postal_code": "55306",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.