Organization Active NPI

Cadence Chiropractic, PLLC

  • Chiropractor
  • Eden Prairie, MN
National Provider Identifier
1821547944
Registry record updated Sep 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6256 Issued in MN
Legal business name
CADENCE CHIROPRACTIC, PLLC
Practice address
6409 City West Pkwy
Suite 105
Eden Prairie, MN 55344-7845
Phone
(612) 562-9692
NPI assigned
Sep 30, 2016
Last updated
Sep 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2016

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

Authorized official

Name
Dr. Amanda Haeg, DCNPI 1134678311
Title
Co-Owner/Vice President
Phone
(952) 212-3770

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
Chiropractor 111N00000X 6256 MN Primary

Addresses

Primary practice location

6409 City West Pkwy
Suite 105
Eden Prairie, MN 55344-7845

Mailing address

1021 Parallel St
Chaska, MN 55318-2468

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161115002299 MN Part B Supplier - Clinic/Group Practice 9638458649 Receives reassigned benefits from 1 practitioner
Practice locations: Eden Prairie, MN

National Provider Directory

National Provider Directory

Locations

6409 City West Pkwy
Ste 105
Eden Prairie, MN 55344
Phone (952) 833-3038

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1821547944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 PARALLEL ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 CITY WEST PKWY",
            "address_2": "SUITE 105",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447845",
            "telephone_number": "612-562-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CADENCE CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "HAEG",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CO-OWNER/VICE PRESIDENT",
        "authorized_official_telephone_number": "952-212-3770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.