Organization Active NPI

Moua-Lor Chiropractic and Acupuncture, PA

  • Clinic/Center
  • Crystal, MN
National Provider Identifier
1871851329
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4013 Issued in MN
Legal business name
MOUA-LOR CHIROPRACTIC AND ACUPUNCTURE, PA
Practice address
5600 Bass Lake Rd Ste D
Crystal, MN 55429-2722
Phone
(612) 529-0202
Fax
(612) 521-1445
NPI assigned
May 2, 2012
Last updated
Jan 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Authorized official

Name
Dr. Yer Moua-Lor, D.C.NPI 1548355142
Title
President/Owner
Phone
(612) 529-0202

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4013 MN Primary

Addresses

Primary practice location

5600 Bass Lake Rd Ste D
Crystal, MN 55429-2722

Mailing address

5600 Bass Lake Rd Ste D
Crystal, MN 55429-2722
Phone (612) 529-0202

National Provider Directory

National Provider Directory

Locations

1819 Lowry Ave N
Minneapolis, MN 55411
Phone (612) 529-0202

5600 Bass Lake Rd
Ste D
Minneapolis, MN 55429
Phone (612) 529-0202

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": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1871851329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 BASS LAKE RD STE D",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292722",
            "telephone_number": "612-529-0202",
            "fax_number": "612-521-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 BASS LAKE RD STE D",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292722",
            "telephone_number": "612-529-0202",
            "fax_number": "612-521-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUA-LOR CHIROPRACTIC AND ACUPUNCTURE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "MOUA-LOR",
        "authorized_official_first_name": "YER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "612-529-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.