LAKEVILLE INTEGRATIVE MEDICINE CLINIC (NPI# 1851425227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851425227 |
| Entity Type | Organization |
| Organization Name | LAKEVILLE INTEGRATIVE MEDICINE CLINIC |
| Other Organization Name | LAKEVILLE INTEGRATIVE MEDICINE CLINIC |
| Practice Address |
16372 Kenrick Ave Suite 100 Lakeville MN 55044-3540 |
| Practice Telephone | 9528926700 |
| Practice Fax Number | 9528929475 |
| Mailing Telephone | 9528926700 |
| Mailing Fax Number | 9528929475 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARK D RIEB (CEO) |
| Authorized Official Telephone | 9528926700 |
| Authorized Official Credential | MD, NMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
31345 | MN | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Lakeville Integrative Medicine Clinic | Doing Business As Name - Organization |
| Street Address |
16372 KENRICK AVE SUITE 100 |
| City | LAKEVILLE |
| State | MN |
| Zip Code | 55044-3540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215992771 | Carolyn Sue Oeltjenbruns | Nurse Practitioner | 16372 Kenrick Ave, Suite 100, Lakeville, MN 55044 | 2006-04-19 |
| 1346807666 | Amanda Helgerson | Dentist | 16372 Kenrick Ave, Lakeville, MN 55044-3540 | 2019-05-22 |
| 1033555081 | Matthew James Schneider | Dentist | 16372 Kenrick Ave, Suite 200, Lakeville, MN 55044-3540 | 2013-05-17 |
| 1457667784 | Vein Clinic Pa | Clinic/Center | 16372 Kenrick Ave, Suite 100, Lakeville, MN 55044-3540 | 2010-08-24 |
| 1417276718 | Liv Health Center, Pllc | Chiropractor | 16372 Kenrick Ave, Suite #210, Lakeville, MN 55044 | 2010-05-26 |
| 1831414523 | Kenrick Chiropractic | Chiropractor | 16372 Kenrick Ave, Suite 210, Lakeville, MN 55044-3540 | 2010-04-06 |
| 1023246444 | Michael Tyler Madison | Chiropractor | 16372 Kenrick Ave, Suite 210, Lakeville, MN 55044 | 2009-06-24 |
| 1316141831 | Chad Matthew Nelson | Dentist | 16372 Kenrick Ave, Suite 200, Lakeville, MN 55044-3540 | 2007-06-11 |
| 1427061019 | Karlton Scott Hedin | Dentist | 16372 Kenrick Ave, Suite 200, Lakeville, MN 55044-3540 | 2006-08-14 |
| 1538177613 | Gary George Jenos | Dentist | 16372 Kenrick Ave, Suite 200, Lakeville, MN 55044-3540 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518528397 | Fairview Pharmacy Services LLC | Non-Pharmacy Dispensing Site | Fairview Lakeville Clinic Mtm, 18580 Joplin Ave, Lakeville, MN 55044 | 2019-06-24 |
| 1164922373 | Invigorate Chiropractic, Pa | Chiropractor | 18449 Orchard Trail, Lakeville, MN 55044 | 2018-02-14 |
| 1275046344 | Kevin Schultz | Chiropractor | 18449 Orchard Tr, Lakeville, MN 55044 | 2017-11-13 |
| 1518487263 | Katarina Klementina Foster | Dentist | 16138 Pilot Knob Rd, Lakeville, MN 55044 | 2017-06-23 |
| 1275069676 | Alison Marie Weaver | Physical Therapist | 17599 Kenwood Trl Ste 200, Lakeville, MN 55044 | 2017-05-04 |
| 1184177479 | Megan Erickson | Physical Therapist | 21034 Heron Way Ste 102, Lakeville, MN 55044 | 2016-08-03 |
| 1669827523 | Kristine Louise Duhamel | Nurse Practitioner | 18275 Kenrick Avenue, Lakeville, MN 55044 | 2016-04-28 |
| 1003281536 | Heather Leann Wegner | Counselor | 16233 Kenyon Ave, Lakeville, MN 55044 | 2015-12-09 |
| 1982081295 | Dana Bungert | Specialist/Technologist | 11060 Upper 167th St W, Lakeville, MN 55044 | 2015-05-06 |
| 1265834931 | Kayla Schulz | Counselor | 7535 165th St West, Lakeville, MN 55044 | 2014-09-24 |
| Find all providers in zip 55044 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457667784 | Vein Clinic Pa | Clinic/Center | 16372 Kenrick Ave, Suite 100, Lakeville, MN 55044-3540 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922576081 | Complex Cares LLC | Clinic/Center | 4700 Lexington Ave N Ste C, Shoreview, MN 55126-5964 | 2018-11-07 |
| 1033565510 | Minnesota Disc Replacement and Spine Restoration Center | Clinic/Center | 4444 76 St, #700, Edina, MN 55435 | 2016-05-13 |
| 1992196307 | Austin Orthopedics & Sports Medicine | Clinic/Center | 14051 Burnhaven Dr Ste 100, Burnsville, MN 55337-4400 | 2015-02-08 |
| 1831599430 | Medifit Health, LLC | Clinic/Center | 9201 Quaday Ave Ne Ste 203, Otsego, MN 55330-6604 | 2014-09-02 |
| 1437567609 | Aligned Chiropractic Pa | Clinic/Center | 3408 E Lake St, Suite 120, Minneapolis, MN 55406-2175 | 2014-07-31 |
| 1316369911 | New Leaf Medical, Pllc | Clinic/Center | 3622 County Road 101 S, Wayzata, MN 55391-3424 | 2014-01-16 |
| 1861825093 | Active Feet, Foot & Ankle Health Center | Clinic/Center | 10995 Club West Pkwy Ste 300, Blaine, MN 55449-5861 | 2013-08-12 |
| 1841538808 | White Dandelion Chinese Medicine L.L.C. | Clinic/Center | 108 3rd St E, Northfield, MN 55057-2050 | 2013-01-27 |
| 1831409234 | Princeton Chiropractic Clinic LLC | Clinic/Center | 501 4th St S Ste 101, Princeton, MN 55371-4754 | 2010-10-19 |
| 1629252101 | Paula Allenburg, Ltd | Clinic/Center | 2415 Emerson Ave S, Minneapolis, MN 55405-2602 | 2007-12-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.