Individual provider Active NPI

Heather Marie Draxler, DC

  • Sports Physician Chiropractor
  • Savage, MN
National Provider Identifier
1760250302
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
4002 Issued in MN
Practice address
7447 Egan Dr Ste 201
Savage, MN 55378-3303
Phone
(952) 447-3343
NPI assigned
Dec 13, 2023
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 4002 MN Primary

Addresses

Primary practice location

7447 Egan Dr Ste 201
Savage, MN 55378-3303

Mailing address

7206 W 114TH Street Cir
Bloomington, MN 55438-2803
Phone (952) 797-2570

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240802002493 MN Practitioner - Chiropractic 5496292807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hyva Elama, PAGroup PAC ID 3476533779, 2 clinicians

Practice addresses (Care Compare)

7447 Egan Dr
Suite 201
Savage, MN 55378-3303
Phone (952) 447-3343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4002MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hyva Elama, P.a. Sports Physician CurrentSince Jun 17, 2024 Accepting new patients

Locations

7447 Egan Dr
Ste 201
Savage, MN 55378
Phone (612) 384-7250

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1760250302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7206 W 114TH STREET CIR",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554382803",
            "telephone_number": "952-797-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 EGAN DR STE 201",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553783303",
            "telephone_number": "952-447-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAXLER",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MN",
            "license": "4002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.