Active NPI
Lynne Marie Madej, DC
- Chiropractor
- Bloomington, MN
National Provider Identifier
1679751598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC5087
- Practice address
- 7700 W Old Shakopee Rd
Suite 120
Bloomington, MN 55438-3311 - Phone
- (952) 829-0262
- Fax
- (952) 829-0327
- NPI assigned
- Feb 1, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC5087 | MN | Primary |
Addresses
Primary practice location
7700 W Old Shakopee Rd
Suite 120
Bloomington, MN 55438-3311
Mailing address
7700 W Old Shakopee Rd
Suite 120
Bloomington, MN 55438-3311
Phone (952) 829-0262
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC5087 | MN | MD | Chiropractor |
| 5087 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268784000000",
"number": "1679751598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 W OLD SHAKOPEE RD",
"address_2": "SUITE 120",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554383311",
"telephone_number": "952-829-0262",
"fax_number": "952-829-0327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7700 W OLD SHAKOPEE RD",
"address_2": "SUITE 120",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554383311",
"telephone_number": "952-829-0262",
"fax_number": "952-829-0327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADEJ",
"first_name": "LYNNE",
"middle_name": "MARIE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-01",
"last_updated": "2010-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "DC5087",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.