Individual provider Active NPI

Senyi Ly, DC

  • Chiropractor
  • Roseville, MN
National Provider Identifier
1578042206
Registry record updated Oct 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6527 Issued in MN
Practice address
2345 Rice St Ste 155
Roseville, MN 55113-3720
Phone
(651) 528-7978
Fax
(651) 528-7941
NPI assigned
Aug 13, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 6527 MN
Chiropractor 111N00000X 6527 MN Primary

Addresses

Primary practice location

2345 Rice St Ste 155
Roseville, MN 55113-3720

Mailing address

2345 Rice St Ste 155
Roseville, MN 55113-3720
Phone (651) 528-7978

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260511003413 MN Practitioner - Chiropractic 7719239193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2345 Rice St
Suite 155
Roseville, MN 55113-3720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6527MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Chiro LLC Chiropractor CurrentSince Oct 31, 2021 Accepting new patients

Locations

2345 Rice St
Ste 155
Roseville, MN 55113
Phone (651) 528-7978

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.

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635379200000",
    "number": "1578042206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 RICE ST STE 155",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133720",
            "telephone_number": "651-528-7978",
            "fax_number": "651-528-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 RICE ST STE 155",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133720",
            "telephone_number": "651-528-7978",
            "fax_number": "651-528-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "SENYI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-13",
        "last_updated": "2021-10-28",
        "certification_date": "2021-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "MN",
            "license": "6527",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.