Organization Active NPI

Inspire Life Chiropractic Center, PLLC

  • Chiropractor
  • Mendota Heights, MN
National Provider Identifier
1598293201
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6323 Issued in MN
Legal business name
INSPIRE LIFE CHIROPRACTIC CENTER, PLLC
Practice address
750 Main St Ste 108
Mendota Heights, MN 55118-3765
Phone
(651) 756-1218
NPI assigned
May 24, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Melissa Christine Krug, DC
Title
Doctor of Chiropractic
Phone
(651) 724-5229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6323 MN Primary

Addresses

Primary practice location

750 Main St Ste 108
Mendota Heights, MN 55118-3765

Mailing address

750 Main St Ste 108
Mendota Heights, MN 55118-3765
Phone (651) 756-1218

National Provider Directory

National Provider Directory

Locations

750 Main St
Ste 108
Saint Paul, MN 55118
Phone (651) 756-1218

Practitioners & affiliated clinicians

Practitioners 1

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": "1495584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598293201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MAIN ST STE 108",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183765",
            "telephone_number": "651-756-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST STE 108",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551183765",
            "telephone_number": "651-756-1218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE LIFE CHIROPRACTIC CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-24",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KRUG",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "651-724-5229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendota Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.