NPIMap

Organization Active NPI

Chirocenter MN, Inc.

Doing business as Uptown Chirocenter

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1629355755
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROCENTER MN, INC.
Doing business as
Uptown Chirocenter
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
Last updated
Nov 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Authorized official

Name
Elizabeth Jordan Berg, DCNPI 1841596384
Title
Owner
Phone
(612) 874-1313

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MN Primary

Addresses

Primary practice location

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

Mailing address

1936 Lyndale Ave S Ste 100
Minneapolis, MN 55403-3101
Phone (612) 874-1313

Other names 1

  • UPTOWN CHIROCENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110525000730 MN Part B Supplier - Clinic/Group Practice 8224214390 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Minneapolis, MN

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

2073 W Wayzata Blvd
Long Lake, MN 55356

2112 Lyndale Ave S
Minneapolis, MN 55405
Phone (612) 874-1313

Practitioners & affiliated clinicians

Practitioners 10

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.

NPI Registry JSON

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

{
    "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"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • 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.