Active NPI
Amy Crain
- Chiropractor
- Shakopee, MN
National Provider Identifier
1902216609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5917
- Practice address
- 1755 17TH Ave E
Shakopee, MN 55379-3372 - Phone
- (952) 445-5250
- Fax
- (952) 445-5350
- NPI assigned
- May 2, 2014
- Last updated
- Feb 13, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5917 | MN | Primary |
Addresses
Primary practice location
1755 17TH Ave E
Shakopee, MN 55379-3372
Mailing address
1755 17TH Ave E
Shakopee, MN 55379-3372
Phone (952) 445-5250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2940 65TH St E
Inver Grove Heights, MN 55076-2040
Phone (651) 451-1012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inver Grove Chiropractic P a | Chiropractor | Current | Accepting new patients |
Locations
2940 65th St E
Inver Grove Heights, MN 55076
Phone (651) 451-1012
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Inver Grove Heights, MN
- NPI 1194904417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423785600000",
"number": "1902216609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 17TH AVE E",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793372",
"telephone_number": "952-445-5250",
"fax_number": "952-445-5350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 17TH AVE E",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793372",
"telephone_number": "952-445-5250",
"fax_number": "952-445-5350"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAIN",
"first_name": "AMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-02",
"last_updated": "2015-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.