Organization Active NPI

Align Chiropractic PA

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1679098172
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6379 Issued in MN
Legal business name
ALIGN CHIROPRACTIC PA
Practice address
16301 Kenrick Ave
Lakeville, MN 55044-8494
Phone
(952) 594-3137
NPI assigned
Aug 7, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Cody Rodewald, DCNPI 1952826455
Title
Owner
Phone
(952) 594-3137

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
Chiropractor 111N00000X 6379 MN Primary

Addresses

Primary practice location

16301 Kenrick Ave
Lakeville, MN 55044-8494

Mailing address

16301 Kenrick Ave
Lakeville, MN 55044-8494
Phone (952) 594-3137

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170908002093 MN Part B Supplier - Clinic/Group Practice 4587937701 Receives reassigned benefits from 2 practitioners
Practice locations: Lakeville, MN

National Provider Directory

National Provider Directory

Locations

16301 Kenrick Ave
Lakeville, MN 55044
Phone (952) 594-3137

Practitioners & affiliated clinicians

Practitioners 2

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": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679098172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16301 KENRICK AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448494",
            "telephone_number": "952-594-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16301 KENRICK AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550448494",
            "telephone_number": "952-594-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RODEWALD",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-594-3137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2022; 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.