Individual provider Active NPI

Elizabeth Katherine Gingrey, D.C.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1942431770
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3962 Issued in NC
Practice address
2822 W 43Rd St
Suite 100
Minneapolis, MN 55410-1696
Phone
(612) 767-4680
Fax
(952) 426-3413
NPI assigned
Jul 28, 2009
Last updated
Apr 1, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5559 MN
Chiropractor 111N00000X 3962 NC Primary

Addresses

Primary practice location

2822 W 43Rd St
Suite 100
Minneapolis, MN 55410-1696

Mailing address

2822 W 43Rd St
Suite 100
Minneapolis, MN 55410-1696
Phone (612) 767-4680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110829000406 MN Practitioner - Chiropractic 6305990581 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunu Linden Hills PLLCGroup PAC ID 1153568068, 3 clinicians

Practice addresses (Care Compare)

2822 W 43Rd St
Suite 100
Minneapolis, MN 55410-1696
Phone (612) 767-4680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3962NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sunu Linden Hills PLLC Chiropractor CurrentSince Dec 1, 2012 Accepting new patients
Sunu Chiropractic, Inc. Chiropractor CurrentSince Jul 10, 2011 Accepting new patients
First Choice Medical Group PC Chiropractor PastSince Jun 17, 2015 Accepting new patients

Locations

2822 W 43rd St
#100
Minneapolis, MN 55410
Phone (612) 767-4680

2822 W 43rd St
Ste 100
Minneapolis, MN 55410
Phone (612) 767-4680

12455 Ridgedale Dr
#203
Minnetonka, MN 55305
Phone (952) 314-7035

12455 Ridgedale Dr
Ste 203
Minnetonka, MN 55305
Phone (952) 314-7035

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427846400000",
    "number": "1942431770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2822 W 43RD ST",
            "address_2": "SUITE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101696",
            "telephone_number": "612-767-4680",
            "fax_number": "952-426-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2822 W 43RD ST",
            "address_2": "SUITE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554101696",
            "telephone_number": "612-767-4680",
            "fax_number": "952-426-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINGREY",
        "first_name": "ELIZABETH",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2015-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5559",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.

Verify at the official NPI Registry.