Active NPI
Chirocenter MN, Inc.
- Chiropractor
- Minneapolis, MN
National Provider Identifier
1750673117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2266
- Legal business name
- CHIROCENTER MN, INC.
- Practice address
- 1936 Lyndale Ave S Ste 100
Minneapolis, MN 55403-3101 - Phone
- (612) 874-1313
- Fax
- (612) 874-6767
- NPI assigned
- May 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eliizabeth J Berg, D.C.
- Title
- Owner
- Phone
- (612) 874-1313
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2266 | MN | Primary |
Addresses
Primary practice location
1936 Lyndale Ave S Ste 100
Minneapolis, MN 55403-3101
Mailing address
1936 Lyndale Ave S Ste 100
Minneapolis, MN 55403-3101
Phone (612) 874-1313
Other names 1
- Uptown ChiroCenter
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 2
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
1936 Lyndale Ave S
Ste 100
Minneapolis, MN 55403
Phone (612) 874-1313
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Albert Lea, MN
- NPI 1841596384
-
- Chiropractor
- Minneapolis, MN
- NPI 1073322210
-
- Chiropractor
- Minneapolis, MN
- NPI 1447755632
-
- Chiropractor
- Minneapolis, MN
- NPI 1114558814
-
- Chiropractor
- Minneapolis, MN
- NPI 1285998351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732579200000",
"number": "1750673117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1936 LYNDALE AVE S STE 100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033101",
"telephone_number": "612-874-1313",
"fax_number": "612-874-6767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1936 LYNDALE AVE S STE 100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554033101",
"telephone_number": "612-874-1313",
"fax_number": "612-874-6767"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROCENTER MN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-04",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "ELIIZABETH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-874-1313",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "2266",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Uptown ChiroCenter",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 26, 2024; 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.