1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Chiropractor
  6. NPI Profile

SOUTHSIDE CHIROPRACTIC, P.A.
NPI 1063680478
Chiropractor in Minneapolis, MN

Active since February 19, 2008
5536 CHICAGO AVE, MINNEAPOLIS, MN 55417(612) 827-0657(612) 827-3102 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Southside Chiropractic, P.a. NPPES

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

SOUTHSIDE CHIROPRACTIC, P.A. (NPI 1063680478) is a healthcare organization registered as a chiropractor in Minneapolis, Minnesota and active in the NPI registry since February 2008. The organization lists Lee Ann Herfort, Owner, as its authorized official.

NPPES Registry Identity

NPI1063680478
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTHSIDE CHIROPRACTIC, P.A.
Location Address5536 CHICAGO AVEMinneapolis, MN 55417-2446
Mailing Address5536 Chicago AveMinneapolis, MN 55417-2446 · (612) 827-0657 · Fax (612) 827-3102
Phone(612) 827-0657
Fax(612) 827-3102
Organization SubpartNo
Authorized OfficialLee Ann HerfortOwner · (612) 827-0657
Enumeration DateFebruary 19, 2008
✔ NPI 1063680478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 2085
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.
5536 CHICAGO AVE, Minneapolis, MN 55417
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINT39600MN

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)

Southside Chiropractic, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Southside Chiropractic, P.A., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Laura O'gorman, DC
Chiropractic
NPI 1588247118
5536 CHICAGO AVE
Minneapolis, MN 55417
(612) 827-0657
✔ Accepts MedicareSame address
Katy-Cecilie Johannessen, DC
Chiropractic
NPI 1538820535
5536 CHICAGO AVE
Minneapolis, MN 55417
(612) 827-0657
✔ 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 Southside Chiropractic, P.A.'s NPI number?

The NPI number for Southside Chiropractic, P.A. is 1063680478. It was assigned to this organization in the NPPES registry on February 19, 2008.

Where is Southside Chiropractic, P.A. located?

Southside Chiropractic, P.A. is located at 5536 Chicago Ave, Minneapolis, MN 55417. The listed phone number is (612) 827-0657.

What is Southside Chiropractic, P.A.'s specialty?

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

Is Southside Chiropractic, P.A. enrolled in Medicare?

Yes. Southside Chiropractic, P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southside Chiropractic, P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Southside Chiropractic, P.A.. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Southside Chiropractic, P.A. accept?

Health plans from HealthPartners list Southside Chiropractic, P.A. 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 Southside Chiropractic, P.A. was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.