Active NPI
Minnesota Spine and Pain Institute, PA
- Rehabilitation Chiropractor
- Columbia Heights, MN
National Provider Identifier
1972926707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- 5444
- Legal business name
- MINNESOTA SPINE AND PAIN INSTITUTE, PA
- Practice address
- 5174 Central Ave NE
Columbia Heights, MN 55421 - Phone
- (651) 331-1460
- NPI assigned
- Jan 30, 2014
- 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. Chad F Ahmed, DC
- Title
- Owner
- Phone
- (651) 331-1460
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5444 | MN | |
| Rehabilitation Chiropractor | 111NR0400X | 5444 | MN | Primary |
Addresses
Primary practice location
5174 Central Ave NE
Columbia Heights, MN 55421
Mailing address
5174 Central Ave NE
Columbia Heights, MN 55421
Phone (651) 331-1460
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Rehabilitation Chiropractor
- Columbia Heights, MN
- NPI 1669896221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391040000000",
"number": "1972926707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5174 CENTRAL AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "55421",
"telephone_number": "651-331-1460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5174 CENTRAL AVE NE",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "55421",
"telephone_number": "651-331-1460"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINNESOTA SPINE AND PAIN INSTITUTE, PA",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-30",
"last_updated": "2014-01-30",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "651-331-1460",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "5444",
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": "MN",
"license": "5444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia Heights, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.