Skyline Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2462 Issued in MN

Legal business name

SKYLINE CHIROPRACTIC, P.A.

Practice address

12940 Harriet Ave S Ste 240
Burnsville, MN 55337-2680

Phone

(952) 707-8588

Fax

(952) 707-8598

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

David Yearling, D.C.NPI 1568581841

Title

President

Phone

(952) 707-8588

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karlynn Lee Benson, DC

  • Chiropractor
  • Burnsville, MN
  • NPI 1396864658
  Medicare reassignment NPD
• David Allan Yearling, DC

  • Chiropractor
  • Burnsville, MN
  • NPI 1568581841
  NPD (past) Authorized official
• Lisa Lynn Boeser, DC

  • Chiropractor
  • Burnsville, MN
  • NPI 1447378146
  NPD (past)
• Joel Alan Fenske, DC

  • Chiropractor
  • Farmington, MN
  • NPI 1841317013
  NPD (past)
• Bernard Paul O'Brien, D.C.

  • Chiropractor
  • Burnsville, MN
  • NPI 1891912903
  NPD (past)
• Jason Thomas Johnson, D.C.

  • Chiropractor
  • Acme, MI
  • NPI 1487710760
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1841366085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12940 HARRIET AVE S",
            "address_2": "SUITE 240",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372680",
            "telephone_number": "952-707-8588",
            "fax_number": "952-707-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12940 HARRIET AVE S STE 240",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372680",
            "telephone_number": "952-707-8588",
            "fax_number": "952-707-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "YEARLING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-707-8588",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MNCARE PROVIDER NO",
            "identifier": "380493300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skin Care Doctors, P.a.
• Makayla Skipper
• Emily Skjeveland
• Ryan Thomas Skrenes, DC
• Sky Behavioral Health LLC
• Skyview Home Care LLC
• Stephanie Sligo-Baker, M.S.W
• Katherine Marie Sloan, M.A.
• Benedict Tugba Slobert
• Janel Marie Pitzen Slowinski

• Chiropractor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.