Active NPI
Nicole Kristin Lantz, D.C.
- Chiropractor
- Burnsville, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4303
- Practice address
- 12280 Nicollet Ave
Suite 104
Burnsville, MN 55337-1649 - Phone
- (952) 895-0660
- Fax
- (952) 895-9408
- NPI assigned
- Aug 30, 2006
- Last updated
- Jul 13, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 4303 | MN | Primary |
Addresses
Primary practice location
12280 Nicollet Ave
Suite 104
Burnsville, MN 55337-1649
Mailing address
3440 Federal Dr
Ste 120
Eagan, MN 55122-3516
Phone (612) 781-9801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265400800 | Medicaid | MN |
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3440 Federal Dr
Suite 138
Eagan, MN 55122-3500
Phone (612) 584-0220
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lantz Chiropractic, PA | Current | Accepting new patients | |
| Basic Balance Chiropractic | Chiropractor | Current | Accepting new patients |
| Garrity Optimum Health PA | Chiropractor | Past | Accepting new patients |
| White Chiropractic PA | Chiropractor | Past | Accepting new patients |
Locations
3440 Federal Dr
Ste 120
Saint Paul, MN 55122
Phone (612) 787-2055
3440 Federal Dr
Ste 138
Saint Paul, MN 55122
Phone (612) 584-0220
Organizations & group practices 4
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.
-
- Clinic/Center
- Eagan, MN
- NPI 1497014500
-
- Chiropractor
- Eagan, MN
- NPI 1639415771
-
- Chiropractor
- Burnsville, MN
- NPI 1932110335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1952410045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3440 FEDERAL DR",
"address_2": "STE 120",
"city": "EAGAN",
"state": "MN",
"postal_code": "551223516",
"telephone_number": "612-781-9801",
"fax_number": "952-895-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12280 NICOLLET AVE",
"address_2": "SUITE 104",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553371649",
"telephone_number": "952-895-0660",
"fax_number": "952-895-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANTZ",
"first_name": "NICOLE",
"middle_name": "KRISTIN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4303",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265400800",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.