Active NPI
Luc Didier Mahler, D.C
- Chiropractor
- Minnetonka, MN
National Provider Identifier
1679994909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5878
- Practice address
- 14001 Ridgedale Dr Ste 390
Minnetonka, MN 55305-1751 - Phone
- (952) 893-8900
- Fax
- (952) 893-7399
- NPI assigned
- Jan 6, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 5878 | MN | Primary |
Addresses
Primary practice location
14001 Ridgedale Dr Ste 390
Minnetonka, MN 55305-1751
Mailing address
14001 Ridgedale Dr Ste 390
Minnetonka, MN 55305-1751
Phone (952) 893-8900
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 |
|---|---|---|---|
| 5878 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388966400000",
"number": "1679994909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DR STE 390",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051751",
"telephone_number": "952-893-8900",
"fax_number": "952-893-7399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14001 RIDGEDALE DR STE 390",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553051751",
"telephone_number": "952-893-8900",
"fax_number": "952-893-7399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHLER",
"first_name": "LUC",
"middle_name": "DIDIER",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-06",
"last_updated": "2014-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Minnetonka, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.