Active NPI
Heights Chiropractic Clinic PA
- Chiropractor
- Columbia Heights, MN
National Provider Identifier
1992992788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HEIGHTS CHIROPRACTIC CLINIC PA
- Practice address
- 4111 Central Ave NE Ste 105
Columbia Heights, MN 55421 - Phone
- (763) 788-0515
- Fax
- (763) 788-0418
- NPI assigned
- Sep 26, 2007
- 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. Andrew Carl Drier, DC
- Title
- Owner
- Phone
- (763) 788-0515
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
4111 Central Ave NE Ste 105
Columbia Heights, MN 55421
Mailing address
4111 Central Ave NE Ste 105
Columbia Heights, MN 55421-2957
Phone (763) 788-0515
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB1110 | Other | MN | PALMETTO GBA |
| 03897HE | Other | MN | BLUE CROSS |
| 286913600 | Other | MN | MN MEDICAL ASSISTANCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050823000337 | MN | Part B Supplier - Clinic/Group Practice | 9537190244 |
Receives reassigned benefits from 1 practitioner Practice locations: Columbia Heights, MN |
National Provider Directory
National Provider DirectoryLocations
4141 Central Ave NE
Ste 105
Minneapolis, MN 55421
Phone (763) 788-0515
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Columbia Heights, MN
- NPI 1538525746
-
- Chiropractor
- Zimmerman, MN
- NPI 1003962440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531353600000",
"number": "1992992788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4111 CENTRAL AVE NE STE 105",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "554212957",
"telephone_number": "763-788-0515",
"fax_number": "763-788-0418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4111 CENTRAL AVE NE STE 105",
"city": "COLUMBIA HEIGHTS",
"state": "MN",
"postal_code": "55421",
"telephone_number": "763-788-0515",
"fax_number": "763-788-0418"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEIGHTS CHIROPRACTIC CLINIC PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-26",
"last_updated": "2018-07-12",
"status": "A",
"authorized_official_last_name": "DRIER",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "763-788-0515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA",
"identifier": "DB1110",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "03897HE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MN MEDICAL ASSISTANCE",
"identifier": "286913600",
"state": "MN"
}
],
"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 Jul 12, 2018; 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.