Organization Active NPI

Directcare Chiropractic, PA

Doing business as HealthSource Chiropractic of Elk River

  • Chiropractor
  • Elk River, MN
National Provider Identifier
1740406685
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4224 Issued in MN
Legal business name
DIRECTCARE CHIROPRACTIC, PA
Doing business as
HealthSource Chiropractic of Elk River
Minnesota Spine & Injury Center
Practice address
18157 Carson CT NW Ste C
Elk River, MN 55330-3611
Phone
(763) 441-0644
Fax
(763) 441-4263
NPI assigned
Apr 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Authorized official

Name
Adam Charles StumneNPI 1437621570
Title
Owner
Phone
(763) 441-0644

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 4224 MN Primary

Addresses

Primary practice location

18157 Carson CT NW Ste C
Elk River, MN 55330-3611

Mailing address

18157 Carson CT NW Ste C
Elk River, MN 55330-3611
Phone (763) 441-0644

Other names 2

  • HealthSource Chiropractic of Elk River Doing business as
  • Minnesota Spine & Injury Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060502000177 MN Part B Supplier - Clinic/Group Practice 0042220345 Receives reassigned benefits from 3 practitioners
Practice locations: Elk River, MN

National Provider Directory

National Provider Directory

Locations

804 Freeport Ave NW
Ste C
Elk River, MN 55330
Phone (763) 441-0644

Practitioners & affiliated clinicians

Practitioners 5

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768348800000",
    "number": "1740406685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18157 CARSON CT NW STE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553303611",
            "telephone_number": "763-441-0644",
            "fax_number": "763-441-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18157 CARSON CT NW STE C",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553303611",
            "telephone_number": "763-441-0644",
            "fax_number": "763-441-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTCARE CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A",
        "authorized_official_last_name": "STUMNE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-441-0644"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthSource Chiropractic of Elk River",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minnesota Spine & Injury Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 14, 2026; 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.