Organization Active NPI

Lakeville Integrated Health Clinic Inc.

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1639710957
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LAKEVILLE INTEGRATED HEALTH CLINIC INC.
Practice address
16283 Ipava Ave
Lakeville, MN 55044-4658
Phone
(952) 898-2287
NPI assigned
Oct 8, 2019
Organization subpart
Yes
Parent organization
LAKEVILLE FAMILY HEALTH CLINIC, LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Dr. Alexa Rae Veeder, DC
Title
Owner
Phone
(952) 898-2287

Specialties & licenses 1

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

Addresses

Primary practice location

16283 Ipava Ave
Lakeville, MN 55044-4658

Mailing address

16283 Ipava Ave
Lakeville, MN 55044-4658
Phone (952) 898-2287

Other identifiers 1

IdentifierTypeStateIssuer
1295957058OtherMNNPI

Other names 1

  • Lakeville Family Health Clinic Former legal business name

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Chirotouch Direct
CONNECT URL Chirotouch Lakeville Family Health Clinic, LTD

National Provider Directory

National Provider Directory
Part of
Lakeville Family Health Clinic LTD

Locations

16283 Ipava Ave
Lakeville, MN 55044
Phone (952) 898-2287

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1639710957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16283 IPAVA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444658",
            "telephone_number": "952-898-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16283 IPAVA AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444658",
            "telephone_number": "952-898-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVILLE INTEGRATED HEALTH CLINIC INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LAKEVILLE FAMILY HEALTH CLINIC, LTD",
        "enumeration_date": "2019-10-08",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "VEEDER",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-898-2287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295957058",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Chirotouch",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16283 Ipava Ave",
            "city": "Lakeville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550444658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Chirotouch",
            "affiliation": "Y",
            "affiliationName": "Lakeville Family Health Clinic, LTD",
            "address_1": "16283 Ipava Ave",
            "city": "Lakeville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550444658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lakeville Family Health Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.