Organization Active NPI

Warner Chiropractic Clinic

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1750443255
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2516 Issued in MN
Legal business name
WARNER CHIROPRACTIC CLINIC
Practice address
2726 Johnson St NE
Minneapolis, MN 55418-3042
Phone
(612) 789-1010
Fax
(612) 789-9205
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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

Authorized official

Name
Dr. Leanne Corinne Warner, D.C.NPI 1164429197
Title
Owner
Phone
(612) 789-1010

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 2516 MN Primary

Addresses

Primary practice location

2726 Johnson St NE
Minneapolis, MN 55418-3042

Mailing address

2726 Johnson St NE
Minneapolis, MN 55418-3042
Phone (612) 789-1010

Other identifiers 5

IdentifierTypeStateIssuer
981222003OtherMNMPH
44-40056OtherMNMEDICA
326228600MedicaidMN
3C806WAOtherMNBLUE CROSS BLUE SHIELD
231031OtherMNACN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081231000174 MN Part B Supplier - Clinic/Group Practice 2860554714 Receives reassigned benefits from 1 practitioner
Practice locations: Ham Lake, MN

National Provider Directory

National Provider Directory

Locations

2726 Johnson St NE
Minneapolis, MN 55418
Phone (612) 789-1010

Practitioners & affiliated clinicians

Practitioners 3

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278892800000",
    "number": "1750443255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2726 JOHNSON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183042",
            "telephone_number": "612-789-1010",
            "fax_number": "612-789-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2726 JOHNSON ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554183042",
            "telephone_number": "612-789-1010",
            "fax_number": "612-789-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARNER CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2010-07-12",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "LEANNE",
        "authorized_official_middle_name": "CORINNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-789-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPH",
            "identifier": "981222003",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "44-40056",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326228600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3C806WA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "231031",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.