Active NPI
Advanced Chiropractic Health PA
- Chiropractor
- Plymouth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4347
- Legal business name
- ADVANCED CHIROPRACTIC HEALTH PA
- Practice address
- 4205 Lancaster LN N Ste 105
Plymouth, MN 55441-1702 - Phone
- (763) 536-1112
- Fax
- (763) 536-0471
- NPI assigned
- May 16, 2007
- Last updated
- Oct 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Casey Lee Paulsen, DC
- Title
- President
- Phone
- (763) 536-1112
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4347 | MN | Primary |
Addresses
Primary practice location
4205 Lancaster LN N Ste 105
Plymouth, MN 55441-1702
Mailing address
4205 Lancaster LN N Ste 105
Plymouth, MN 55441-1702
Phone (763) 536-1112
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110105600 | Medicaid | MN | |
| 67G19W1 | Other | MN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4351 Winnetka Ave N
New Hope, MN 55428
Phone (763) 536-1112
4205 Lancaster Ln N
Ste 105
Plymouth, MN 55441
Phone (763) 536-1112
4345 Nathan Ln N
Ste F
Plymouth, MN 55442
Phone (763) 536-1112
Practitioners & affiliated clinicians
Practitioners 13
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1568679264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 LANCASTER LN N STE 105",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554411702",
"telephone_number": "763-536-1112",
"fax_number": "763-536-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4205 LANCASTER LN N STE 105",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554411702",
"telephone_number": "763-536-1112",
"fax_number": "763-536-0471"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED CHIROPRACTIC HEALTH PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "PAULSEN",
"authorized_official_first_name": "CASEY",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "763-536-1112",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4347",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110105600",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "67G19W1",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.