Organization Active NPI

Evexia Metabolic Health and Longevity Clinic

  • Chiropractor
  • Edina, MN
National Provider Identifier
1679415541
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EVEXIA METABOLIC HEALTH AND LONGEVITY CLINIC
Practice address
7200 Metro Blvd Ste B
Edina, MN 55439-2128
Phone
(952) 486-3869
NPI assigned
Apr 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Authorized official

Name
David Ray Roetman, D.C. M.SC.NPI 1275015570
Title
Owner, Provider
Phone
(952) 486-3869

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 SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

7200 Metro Blvd Ste B
Edina, MN 55439-2128

Mailing address

7200 Metro Blvd Ste B
Edina, MN 55439-2128
Phone (952) 486-3869

National Provider Directory

National Provider Directory

Locations

7200 Metro Blvd
Ste B
Edina, MN 55439
Phone (952) 486-3869

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": "1775606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775606400000",
    "number": "1679415541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7200 METRO BLVD STE B",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392128",
            "telephone_number": "952-486-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 METRO BLVD STE B",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392128",
            "telephone_number": "952-486-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVEXIA METABOLIC HEALTH AND LONGEVITY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A",
        "authorized_official_last_name": "ROETMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER, PROVIDER",
        "authorized_official_telephone_number": "952-486-3869",
        "authorized_official_credential": "D.C. M.SC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.