Angela Elliot, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5192 Issued in MN

Practice address

2485 Maplewood Dr
Suite 215
Maplewood, MN 55109-1978

Phone

(651) 484-9009

Fax

(651) 765-0995

NPI assigned

Jan 24, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Total Family Chiropractic LLC

  • Clinic/Center
  • White Bear Lake, MN
  • NPI 1063834562
  NPD
• Kromrey Chiropractic, S.C.

  • Chiropractor
  • Cadott, WI
  • NPI 1396934725
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1841477627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 MAPLEWOOD DR",
            "address_2": "SUITE 215",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551099401",
            "telephone_number": "651-484-9009",
            "fax_number": "651-765-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 MAPLEWOOD DR",
            "address_2": "SUITE 215",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091978",
            "telephone_number": "651-484-9009",
            "fax_number": "651-765-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOT",
        "first_name": "ANGELA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-24",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4376-12",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Edquist, M.ED.
• Stacey Ehrhardt Koenigsfeld
• Elder Care Day Services, LLC
• Kristie Heinen Elghazi, CNP
• Ronda Ellevold, ATC
• Siara Zee Elovich, D.D.S.
• Erik Anders Engelbrektson, DMD
• Michael D England, M.D.
• Jennifer L. Englund, M.D.
• Andrea Ward Enos, LADC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.