Organization Active NPI

Heights Chiropractic Clinic PA

  • Chiropractor
  • Columbia Heights, MN
National Provider Identifier
1992992788
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Dr. Andrew Carl Drier, DCNPI 1538525746
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)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DB1110OtherMNPALMETTO GBA
03897HEOtherMNBLUE CROSS
286913600OtherMNMN MEDICAL ASSISTANCE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.