Organization Active NPI

Chirocenter MN, Inc.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1750673117
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2266 Issued in MN
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

Updated by the provider on Nov 26, 2024

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000477 MN Part B Supplier - Clinic/Group Practice 5092629824 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Robbinsdale, MN
O20110525000730 MN Part B Supplier - Clinic/Group Practice 8224214390 Receives reassigned benefits from 5 practitioners
2 other NPIs on this enrollment
Practice locations: Minneapolis, MN

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 Directory

Locations

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.

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.

Verify at the official NPI Registry.