MJ CHIROPRACTIC (NPI# 1992909998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992909998 |
| Entity Type | Organization |
| Organization Name | MJ CHIROPRACTIC |
| Other Organization Name | BLOOM LAKE CHIROPRACTIC |
| Practice Address |
1527 E Lake St Suite 200a Minneapolis MN 55407-6700 |
| Practice Telephone | 6127211820 |
| Practice Fax Number | 6127211828 |
| Mailing Telephone | 6127211820 |
| Mailing Fax Number | 6127211828 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JASON SMITH (OWNER) |
| Authorized Official Telephone | 6127211820 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 3356 | MN | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Bloom Lake Chiropractic | Doing Business As Name - Organization |
| Street Address |
1527 E LAKE ST SUITE 200A |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821203050 | Reliable Care Services. Inc | Home Health | 1527 E Lake St, Minneapolis, MN 55407-6700 | 2007-05-11 |
| 1861872970 | Minncare Physical Therapy Inc | Physical Therapist | 1527 E Lake St, 200a, Minneapolis, MN 55407-6700 | 2015-06-03 |
| 1881030658 | Lavanya Namballa | Internal Medicine | 1527 E Lake St, Minneapolis, MN 55407-6700 | 2013-05-20 |
| 1134497571 | Fairview Health Services | Clinic/Center | 1527 E Lake St, 150, Minneapolis, MN 55407-6700 | 2011-12-13 |
| 1447534904 | Affinity Health Chiropractic, P.a. | Clinic/Center | 1527 E Lake St, Suite 200a, Minneapolis, MN 55407-6700 | 2011-10-03 |
| 1861708349 | Natalee A Chromy | Physician Assistant | 1527 E Lake St, Minneapolis, MN 55407-6700 | 2010-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499308 | Devries Spine Care Pllc | Chiropractor | 4748 Chicago Ave Ste 10, Minneapolis, MN 55407-4311 | 2020-08-25 |
| 1699384198 | Arrow Health Chiropractic, P.a. | Chiropractor | 1000 Nicollet Mall # 260, Minneapolis, MN 55403-2542 | 2020-07-30 |
| 1750917068 | Minnesota Chiroworks, Pllc | Chiropractor | 125 Se Main St Ste 237, Minneapolis, MN 55414-2278 | 2020-03-18 |
| 1295368850 | First Choice Chiropractic & Rehab Center LLC | Chiropractor | 2929 4th Ave S Ste 103, Minneapolis, MN 55408-2460 | 2020-02-21 |
| 1144869587 | Jaron Michael Faber | Chiropractor | 8921 62nd Ave N, Minneapolis, MN 55428-2630 | 2020-01-02 |
| 1174167845 | Marino Best | Chiropractor | 1221 W Lake St Ste 102, Minneapolis, MN 55408-3398 | 2019-11-05 |
| 1609410984 | Hlikaj Xiong | Chiropractor | 2822 W 43rd St Ste 100, Minneapolis, MN 55410-1696 | 2019-10-30 |
| 1164987228 | Kyle Politz | Chiropractor | 6528 W Lake St Ste D, Minneapolis, MN 55426-4246 | 2019-02-04 |
| 1558833558 | Drew Selnes | Chiropractor | 3211 E 25th St, Minneapolis, MN 55406-1410 | 2019-01-02 |
| 1063984235 | Austin G King | Chiropractor | 7801 E Bush Lake Rd Ste 280, Minneapolis, MN 55439-3144 | 2018-12-27 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on MJ CHIROPRACTIC.
| 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.