Organization Active NPI

Susan Lecy-Lindall

  • Chiropractor
  • Victoria, MN
National Provider Identifier
1992944425
Registry record updated Jan 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SUSAN LECY-LINDALL
Practice address
1750 Tower Blvd
Suite 203
Victoria, MN 55386-4566
Phone
(952) 442-2409
NPI assigned
Feb 6, 2009
Last updated
Jan 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2015

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

Authorized official

Name
Dr. Susan Lecy-LindallNPI 1619178928
Title
Owner/D.C.
Phone
(952) 442-2409

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1750 Tower Blvd
Suite 203
Victoria, MN 55386-4566

Mailing address

1750 Tower Blvd
Suite 203 P.O. Box 42
Victoria, MN 55386-4566
Phone (952) 442-2409

Other identifiers 1

IdentifierTypeStateIssuer
234878100MedicaidMN

National Provider Directory

National Provider Directory

Locations

854 W 78th St
Chanhassen, MN 55317
Phone (952) 934-4500

1750 Tower Blvd
Ste 203
Victoria, MN 55386
Phone (952) 442-2409

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421971200000",
    "number": "1992944425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 TOWER BLVD",
            "address_2": "SUITE 203 P.O. BOX 42",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553864566",
            "telephone_number": "952-442-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 TOWER BLVD",
            "address_2": "SUITE 203",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553864566",
            "telephone_number": "952-442-2409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN LECY-LINDALL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2015-01-23",
        "status": "A",
        "authorized_official_last_name": "LECY-LINDALL",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/D.C.",
        "authorized_official_telephone_number": "952-442-2409",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234878100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.