Active NPI
Chiropractic Advantage, LLC
- Chiropractor
- Bloomington, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3278
- Legal business name
- CHIROPRACTIC ADVANTAGE, LLC
- Practice address
- 8900 Penn Ave S
Suite 116
Bloomington, MN 55431-2068 - Phone
- (952) 884-3700
- Fax
- (612) 656-0550
- NPI assigned
- Jun 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian S Elijah
- Title
- Owner President
- Phone
- (952) 884-3700
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3278 | MN | Primary |
Addresses
Primary practice location
8900 Penn Ave S
Suite 116
Bloomington, MN 55431-2068
Mailing address
8900 Penn Ave S
116
Bloomington, MN 55431-2068
Phone (952) 884-3700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4485431 | Other | MN | MEDICA PROVIDER ID |
| 1B00B6CH | Other | MN | BCBS CLINIC ID |
| 00B97EL | Other | MN | BCBS PROVIDER ID |
National Provider Directory
National Provider DirectoryLocations
8900 Penn Ave S
Ste 116
Bloomington, MN 55431
Phone (612) 884-3700
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.
-
- Chiropractor
- Bloomington, MN
- NPI 1184621708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212969600000",
"number": "1841492428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8900 PENN AVE S",
"address_2": "116",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554312068",
"telephone_number": "952-884-3700",
"fax_number": "612-656-0550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8900 PENN AVE S",
"address_2": "SUITE 116",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554312068",
"telephone_number": "952-884-3700",
"fax_number": "612-656-0550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHIROPRACTIC ADVANTAGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2008-06-09",
"status": "A",
"authorized_official_last_name": "ELIJAH",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER PRESIDENT",
"authorized_official_telephone_number": "952-884-3700"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "3278",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PROVIDER ID",
"identifier": "4485431",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS CLINIC ID",
"identifier": "1B00B6CH",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER ID",
"identifier": "00B97EL",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.