Art District Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4083 Issued in MN

Legal business name

ART DISTRICT CHIROPRACTIC, LLC

Practice address

208 13TH Ave NE
Minneapolis, MN 55413-4598

Phone

(612) 741-2736

NPI assigned

May 3, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Lori Lynn Pottebaum, D.C.

Title

Chief Manager/Chiropractor

Phone

(612) 741-2736

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 5

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

• Lori Olson, D.C.

  • Rehabilitation Chiropractor
  • Minneapolis, MN
  • NPI 1457485575
  Medicare reassignment Care Compare group NPD
• Renee L Polikowsky, D.C

  • Chiropractor
  • Minneapolis, MN
  • NPI 1750747820
  Medicare reassignment Care Compare group
• Kari Jean Boudreau, DOCTOR CHIROPRACTIC

  • Chiropractor
  • Minneapolis, MN
  • NPI 1609995216
  NPD (past)
• Christel Rouen

  • Massage Therapist
  • Minneapolis, MN
  • NPI 1548694573
  NPD (past)
• Morgan Binnie

  • Chiropractor
  • Bothell, WA
  • NPI 1659689792
  NPD (past)

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304380800000",
    "number": "1912299405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 13TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554134598",
            "telephone_number": "612-741-2736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 13TH AVE NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554134598",
            "telephone_number": "612-741-2736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART DISTRICT CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2011-05-03",
        "status": "A",
        "authorized_official_last_name": "POTTEBAUM",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF MANAGER/CHIROPRACTOR",
        "authorized_official_telephone_number": "612-741-2736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451804700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mercy Arrey
• Cade D Arries, MD
• Arrow Health Chiropractic, P.a.
• Rebecca Jean Arsenault, LICSW
• Elliot George Arsoniadis, M.D.
• Art of Health
• Art Therapy of MN
• Asmaa Ahmed Artan
• Arte LLC
• Hamdi Arte

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2011; 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.