Active NPI
Laura Cleveland, D.C.
- Chiropractor
- Elk River, MN
National Provider Identifier
1689856577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5029
- Practice address
- 19332 Highway 169
Elk River, MN 55330-4645 - Phone
- (763) 441-7788
- NPI assigned
- Dec 3, 2007
- Last updated
- Dec 3, 2007
- 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 | 5029 | MN | Primary |
Addresses
Primary practice location
19332 Highway 169
Elk River, MN 55330-4645
Mailing address
19332 Highway 169
Elk River, MN 55330-4645
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 |
|---|---|---|---|
| 5029 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodywise Chiropractic Center | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Elk River, MN
- NPI 1699809756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1689856577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19332 HIGHWAY 169",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553304645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19332 HIGHWAY 169",
"city": "ELK RIVER",
"state": "MN",
"postal_code": "553304645",
"telephone_number": "763-441-7788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "LAURA",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk River, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.