Trent H. Iverson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3815 Issued in MN

Practice address

1912 Lexington Ave
Suite 250
Roseville, MN 55113

Phone

(651) 646-2050

Fax

(651) 646-2279

NPI assigned

May 2, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bandana Chiropractic & Wellness Center PA

  • Chiropractor
  • Roseville, MN
  • NPI 1215123856
  Medicare reassignment Authorized official
• Bandana Chiropractic and Wellness Center PA

  • Chiropractor
  • Roseville, MN
  • NPI 1730348335
  NPD

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1962624809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 LEXINGTON AVE N STE 250",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551136100",
            "telephone_number": "651-646-2050",
            "fax_number": "651-646-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 LEXINGTON AVE",
            "address_2": "SUITE 250",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "651-646-2050",
            "fax_number": "651-646-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "TRENT",
        "middle_name": "H.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "76D39IV",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Intrepid of Minnesota, Inc.
• Isight Optometry II
• Adna Ismail
• Hibaq Issa
• Falis Ali Isse
• Veena R Iyer, MD
• J & P Integrity Support Services LLC
• Antoine Deshawn Jackson, MA, LPCC
• Michelle Leigh Jacobson, PHARM D, B.S.
• Matthew Dwaine Jadlowski, LICSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.