Individual provider Active NPI

Aarti Goyal, DC

  • Chiropractor
  • Wayzata, MN
National Provider Identifier
1730712993
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6702 Issued in MN
Practice address
1421 Wayzata Blvd Ste 100
Wayzata, MN 55391-4103
Phone
(952) 473-9637
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6702 MN Primary

Addresses

Primary practice location

1421 Wayzata Blvd Ste 100
Wayzata, MN 55391-4103

Mailing address

1421 Wayzata Blvd Ste 100
Wayzata, MN 55391-4103
Phone (952) 473-9637

Other practice location 1

11919 Central Ave NE
Blaine, MN 55434
Phone (763) 757-1660

Other practice location 2

1603 County Road C W
Roseville, MN 55113-1302
Phone (612) 261-1170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210521001841 MN Practitioner - Chiropractic 9335548445 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ambiente Gallerie LLC Chiropractor PastSince Apr 1, 2020 Accepting new patients
Blaine Chiropractic Center PA Chiropractor PastSince Feb 1, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1730712993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 WAYZATA BLVD STE 100",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914103",
            "telephone_number": "952-473-9637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 WAYZATA BLVD STE 100",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914103",
            "telephone_number": "952-473-9637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11919 Central Ave NE",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "MN",
            "postal_code": "55434",
            "country_code": "US",
            "telephone_number": "763-757-1660",
            "fax_number": "763-757-4108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1603 County Road C W",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551131302",
            "country_code": "US",
            "telephone_number": "612-261-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOYAL",
        "first_name": "AARTI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.