Active NPI
Optimal Performance Specialists Clinics, LLC
- Chiropractor
- Blue Earth, MN
National Provider Identifier
1942459987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 895
- Legal business name
- OPTIMAL PERFORMANCE SPECIALISTS CLINICS, LLC
- Practice address
- 220 S Main St
Blue Earth, MN 56013 - Phone
- (507) 526-2211
- Fax
- (507) 526-3003
- NPI assigned
- Sep 15, 2008
- 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
- Dr. Arron Ray Kalis, D.C.
- Title
- Owner
- Phone
- (507) 526-2211
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 895 | MN | Primary |
Addresses
Primary practice location
220 S Main St
Blue Earth, MN 56013
Mailing address
220 S Main St
Blue Earth, MN 56013
Phone (507) 526-2211
Other names 1
- Innate Wellness Center, LLC.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
220 S Main St
Blue Earth, MN 56013
Phone (507) 526-2211
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Blue Earth, MN
- NPI 1033203450
-
- Chiropractor
- Blue Earth, MN
- NPI 1023871910
-
- Nurse Practitioner
- Fairmont, MN
- NPI 1932517893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642723200000",
"number": "1942459987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 S MAIN ST",
"city": "BLUE EARTH",
"state": "MN",
"postal_code": "56013",
"telephone_number": "507-526-2211",
"fax_number": "507-526-3003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S MAIN ST",
"city": "BLUE EARTH",
"state": "MN",
"postal_code": "56013",
"telephone_number": "507-526-2211",
"fax_number": "507-526-3003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTIMAL PERFORMANCE SPECIALISTS CLINICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-15",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A",
"authorized_official_last_name": "KALIS",
"authorized_official_first_name": "ARRON",
"authorized_official_middle_name": "RAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "507-526-2211",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Innate Wellness Center, LLC.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Blue Earth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.