Individual provider Active NPI

Taylor Lavalley, DC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1679225643
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6921 Issued in MN
Practice address
515 1St Ave NE
Minneapolis, MN 55413-2209
Phone
(218) 770-9333
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6921 MN Primary

Addresses

Primary practice location

515 1St Ave NE
Minneapolis, MN 55413-2209

Mailing address

950 Alysheba Rd Apt 304
Shakopee, MN 55379-5010
Phone (218) 770-9333

Other practice location 1

950 Alysheba Rd Apt 304
Shakopee, MN 55379-5010
Phone (218) 770-9333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6921MNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1679225643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 ALYSHEBA RD APT 304",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553795010",
            "telephone_number": "218-770-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 1ST AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132209",
            "telephone_number": "218-770-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Alysheba Rd Apt 304",
            "address_purpose": "LOCATION",
            "city": "Shakopee",
            "state": "MN",
            "postal_code": "553795010",
            "country_code": "US",
            "telephone_number": "218-770-9333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVALLEY",
        "first_name": "TAYLOR",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 21, 2022; 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.