Individual provider Active NPI

Erik Brian Han-Lindemyer, DC

  • Chiropractor
  • Eagan, MN
National Provider Identifier
1841325826
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4179 Issued in MN
Practice address
4678 Slater Rd
Wentworth Park
Eagan, MN 55122-2362
Phone
(651) 905-0330
Fax
(651) 905-0425
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4179 MN Primary

Addresses

Primary practice location

4678 Slater Rd
Wentworth Park
Eagan, MN 55122-2362

Mailing address

4678 Slater Rd
Wentworth Park
Eagan, MN 55122-2362
Phone (651) 905-0330

Other identifiers 6

IdentifierTypeStateIssuer
043602272OtherMNHEALTHPARTNERS
043602272OtherMNUNITED HEALTHCARE
124M8GEOtherMNBLUE CROSS BLUE SHIELD
043602272OtherMNPREFERRED ONE
4332814-00OtherMSSTATE OF MN HUMAN SERVICE
4332814-00MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000757 MN Practitioner - Chiropractic 4183886138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4678 Slater Rd
Eagan, MN 55122-2362
Phone (651) 905-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Chiropractic Health Center Chiropractor CurrentSince Feb 1, 2002 Accepting new patients

Locations

4130 Blackhawk Rd
Ste 112
Eagan, MN 55122
Phone (651) 484-6923

4678 Slater Rd
Saint Paul, MN 55122
Phone (651) 905-0330

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1841325826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4678 SLATER RD",
            "address_2": "WENTWORTH PARK",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222362",
            "telephone_number": "651-905-0330",
            "fax_number": "651-905-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4678 SLATER RD",
            "address_2": "WENTWORTH PARK",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222362",
            "telephone_number": "651-905-0330",
            "fax_number": "651-905-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN-LINDEMYER",
        "first_name": "ERIK",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "043602272",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "043602272",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "124M8GE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "043602272",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MN HUMAN SERVICE",
            "identifier": "4332814-00",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4332814-00",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.