Organization Active NPI

Silver Bell Chiropractic LLC

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1679177125
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SILVER BELL CHIROPRACTIC LLC
Practice address
2020 Silver Bell Rd Ste 9
Eagan, MN 55122-5233
Phone
(651) 452-7018
Fax
(651) 686-6130
NPI assigned
Nov 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2020

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

Authorized official

Name
Robert D Lukin, DC
Title
Owner
Phone
(651) 452-7018

Specialties & licenses 1

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

Addresses

Primary practice location

2020 Silver Bell Rd Ste 9
Eagan, MN 55122-5233

Mailing address

2020 Silver Bell Rd Ste 9
Eagan, MN 55122-5233
Phone (651) 452-7018

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210127003239 MN Part B Supplier - Clinic/Group Practice 7719391002 Receives reassigned benefits from 1 practitioner
Practice locations: Eagan, MN

National Provider Directory

National Provider Directory

Locations

2020 Silver Bell Rd
Ste 9
Saint Paul, MN 55122
Phone (651) 452-7018

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": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606262400000",
    "number": "1679177125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SILVER BELL RD STE 9",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551225233",
            "telephone_number": "651-452-7018",
            "fax_number": "651-686-6130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SILVER BELL RD STE 9",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551225233",
            "telephone_number": "651-452-7018",
            "fax_number": "651-686-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER BELL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A",
        "authorized_official_last_name": "LUKIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-452-7018",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.