Chirocenter MN, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROCENTER MN, INC.

Practice address

1936 Lyndale Ave S Ste 100
Minneapolis, MN 55403-3101

Phone

(612) 874-1313

Fax

(612) 874-6767

NPI assigned

Nov 3, 2011

Organization subpart

No

Name

Elizabeth Jordan Berg, DCNPI 1841596384

Title

Owner

Phone

(612) 874-1313

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Chirocenter MN, Inc.

  • Chiropractor
  • Minneapolis, MN
  • NPI 1750673117

  O20110525000730

  Same enrollment

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Jordan Berg, D.C

  • Chiropractor
  • Albert Lea, MN
  • NPI 1841596384
  NPD Authorized official
• Kit Harlow, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1073322210
  NPD
• Olivia Erin Stensrud, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1447755632
  NPD
• Kelsey Stern, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1114558814
  NPD
• Samantha S Vitek, DC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1285998351
  NPD
• Kevin Connery, DC

  • Chiropractor
  • Long Lake, MN
  • NPI 1891679262
  NPD (past)
• Mackenzie Engelstad, DC

  • Chiropractor
  • Ham Lake, MN
  • NPI 1720749781
  NPD (past)
• Joshua David Mazurek, DC

  • Chiropractor
  • Long Lake, MN
  • NPI 1508527540
  NPD (past)
• Michael Joseph Sherman, CMT

  • Massage Therapist
  • Long Lake, MN
  • NPI 1902341589
  NPD (past)
• Samantha Rose Rothbauer, DC

  • Chiropractor
  • Seattle, WA
  • NPI 1932692902
  NPD (past)

Medicare fee-for-service enrollment

Enrolled in MN

Locations

• UPTOWN CHIROCENTER Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2024.

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1629355755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1936 LYNDALE AVE S STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033101",
            "telephone_number": "612-874-1313",
            "fax_number": "612-874-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1936 LYNDALE AVE S STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033101",
            "telephone_number": "612-874-1313",
            "fax_number": "612-874-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROCENTER MN, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-03",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-874-1313",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPTOWN CHIROCENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dafni Chiona, DDS
• Allison Chiou
• Jeffrey Green Chipman, M.D.
• Chiro First PA
• Chiro Health Clinic, P.a.
• Chirocenter MN, Inc.
• Chiromed Clinic, P.a.
• Chiron LLC
• Chiropractic Wellness Center of Dinkytown LLC
• Christine E Chiros

• All providers in Minneapolis, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.