SPRING LAKE PARK CHIROPRACTIC PA
NPI 1003941030
Chiropractor in Spring Lake Park, MN

Q: What is Spring Lake Park Chiropractic PA's NPI number?

The NPI number for Spring Lake Park Chiropractic PA is 1003941030. It was assigned to this organization in the NPPES registry on February 22, 2007.

Q: What is Spring Lake Park Chiropractic PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since February 22, 2007

1611 COUNTY HIGHWAY 10, SPRING LAKE PARK, MN 55432(763) 784-1540 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Spring Lake Park Chiropractic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPRING LAKE PARK CHIROPRACTIC PA (NPI 1003941030) is a healthcare organization registered as a chiropractor in Spring Lake Park, Minnesota and active in the NPI registry since February 2007. The organization lists David Donald Peterson, Owner, as its authorized official.

NPPES Registry Identity

NPI1003941030

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameSPRING LAKE PARK CHIROPRACTIC PA

Location Address1611 COUNTY HIGHWAY 10Spring Lake Park, MN 55432-2124

Mailing Address1611 County Highway 10Spring Lake Park, MN 55432-2124 · (763) 784-1540

Phone(763) 784-1540

Organization SubpartNo

Authorized OfficialDavid Donald PetersonOwner · (763) 784-1540

Enumeration DateFebruary 22, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1003941030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MN · 3397

Definition

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.

1611 COUNTY HIGHWAY 10, Spring Lake Park, MN 55432

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spring Lake Park Chiropractic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spring Lake Park Chiropractic PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Trevor Velin, DC

Chiropractic

NPI 1154966794

1611 COUNTY HIGHWAY 10
Spring Lake Park, MN 55432

(763) 784-1540

✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spring Lake Park Chiropractic PA's NPI number?

The NPI number for Spring Lake Park Chiropractic PA is 1003941030. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Spring Lake Park Chiropractic PA located?

Spring Lake Park Chiropractic PA is located at 1611 County Highway 10, Spring Lake Park, MN 55432. The listed phone number is (763) 784-1540.

What is Spring Lake Park Chiropractic PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Spring Lake Park Chiropractic PA enrolled in Medicare?

Yes. Spring Lake Park Chiropractic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Spring Lake Park Chiropractic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Spring Lake Park Chiropractic PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spring Lake Park Chiropractic PA accept?

Health plans from HealthPartners list Spring Lake Park Chiropractic PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Spring Lake Park Chiropractic PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.