Individual provider Active NPI

Heather Margaret Flatgard, D.C

  • Chiropractor
  • St Louis Park, MN
National Provider Identifier
1609371525
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6492 Issued in MN
Practice address
5605 W 36TH St Ste 100C
St Louis Park, MN 55416-2599
Phone
(952) 920-9247
NPI assigned
Mar 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6492 MN Primary

Addresses

Primary practice location

5605 W 36TH St Ste 100C
St Louis Park, MN 55416-2599

Mailing address

5407 Excelsior Blvd Ste D
St Louis Park, MN 55416-2932
Phone (952) 920-9247

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180726002346 MN Practitioner - Chiropractic 1254688955 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6492MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenberg Chiropractic Care LLC Chiropractor 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.

NPI Registry JSON

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

{
    "created_epoch": "1521936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1609371525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 EXCELSIOR BLVD STE D",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162932",
            "telephone_number": "952-920-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 W 36TH ST STE 100C",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554162599",
            "telephone_number": "952-920-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLATGARD",
        "first_name": "HEATHER",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-25",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Louis Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.

Verify at the official NPI Registry.