Organization Active NPI

Kyle Leduc Chiropractic PLLC.

Doing business as Health Connection Family Chiropractic

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1639632482
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KYLE LEDUC CHIROPRACTIC PLLC.
Doing business as
Health Connection Family Chiropractic
Practice address
5101 Thimsen Ave Ste 106
Minnetonka, MN 55345-4153
Phone
(952) 232-4700
Fax
(952) 232-4699
NPI assigned
Apr 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Dr. Kyle A Leduc, D.C.NPI 1417462631
Title
Owner
Phone
(218) 686-3539

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 MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5101 Thimsen Ave Ste 106
Minnetonka, MN 55345-4153

Mailing address

5101 Thimsen Ave Ste 106
Minnetonka, MN 55345-4153
Phone (952) 232-4700

Other names 1

  • Health Connection Family Chiropractic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DrKyle@HealthConnectionMN.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190604000014 MN Part B Supplier - Clinic/Group Practice 9830422070 Receives reassigned benefits from 1 practitioner
Practice locations: Minnetonka, MN

National Provider Directory

National Provider Directory

Locations

5101 Thimsen Ave
Ste 106
Minnetonka, MN 55345
Phone (952) 232-4700

Interoperability endpoints

  • Direct secure messaging: drkyle@healthconnectionmn.com

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": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1639632482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 THIMSEN AVE STE 106",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454153",
            "telephone_number": "952-232-4700",
            "fax_number": "952-232-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 THIMSEN AVE STE 106",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454153",
            "telephone_number": "952-232-4700",
            "fax_number": "952-232-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KYLE LEDUC CHIROPRACTIC PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "LEDUC",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-686-3539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DrKyle@HealthConnectionMN.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5101 Thimsen Ave Ste 106",
            "city": "Minnetonka",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553454153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Health Connection Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.