Individual provider Active NPI

Aleksandr M Giterman, D.C.

  • Chiropractor
  • Bloomington, MN
National Provider Identifier
1992743819
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4820 Issued in MN
Practice address
8040 Old Cedar S Ave
Bloomington, MN 55425-1234
Phone
(651) 789-8022
Fax
(651) 789-8028
NPI assigned
Jun 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4820 MN Primary

Addresses

Primary practice location

8040 Old Cedar S Ave
Bloomington, MN 55425-1234

Mailing address

8040 Old Cedar S Ave
Bloomington, MN 55425-1234
Phone (651) 789-8022

Other identifiers 1

IdentifierTypeStateIssuer
4820OtherMNLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060811000011 MN Practitioner - Chiropractic 5496758450 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4820MNMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Shakopee Mdewakanton Sioux Community Chiropractor CurrentSince Jul 14, 2025 Accepting new patients
Primary Care & Rehabilitation Clinics, Inc. Past Accepting new patients

Locations

2360 Sioux Trl NW
Prior Lake, MN 55372
Phone (952) 233-2886

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1992743819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8040 OLD CEDAR S AVE",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251234",
            "telephone_number": "651-789-8022",
            "fax_number": "651-789-8028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8040 OLD CEDAR S AVE",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251234",
            "telephone_number": "651-789-8022",
            "fax_number": "651-789-8028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITERMAN",
        "first_name": "ALEKSANDR",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "4820",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.