1. Home
  2. Directory
  3. Minnesota
  4. White Bear Lake
  5. Chiropractor
  6. NPI Profile

HEALTHSOURCE OF WHITE BEAR LAKE, PLLC
NPI 1073767372
Chiropractor in White Bear Lake, MN

Active since November 13, 2008
4801 HIGHWAY 61 N, 105, WHITE BEAR LAKE, MN 55110(651) 762-5433(651) 762-7504 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Healthsource Of White Bear Lake, Pllc NPPES

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

HEALTHSOURCE OF WHITE BEAR LAKE, PLLC (NPI 1073767372) is a healthcare organization registered as a chiropractor in White Bear Lake, Minnesota and active in the NPI registry since November 2008. The organization lists Michael Leo Dixon, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1073767372
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameHEALTHSOURCE OF WHITE BEAR LAKE, PLLC
Location Address4801 HIGHWAY 61 N, 105White Bear Lake, MN 55110-2737
Mailing Address4801 Highway 61 N, 105White Bear Lake, MN 55110-2737 · (651) 762-5433 · Fax (651) 762-7504
Phone(651) 762-5433
Fax(651) 762-7504
Organization SubpartNo
Authorized OfficialMichael Leo DixonChiropractor · (651) 762-5433
Enumeration DateNovember 13, 2008
Last NPPES UpdateFebruary 12, 2010
✔ NPI 1073767372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5114
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.
4801 HIGHWAY 61 N, White Bear Lake, MN 55110
Open in Google Maps ↗

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 ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STEPHEN WILLIAM JAKSA D.D.S,
Dentist (General Practice)
4801 HIGHWAY 61 N, SUITE 301
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 762-8474
DR. JOHN ROBERT LUNDSTROM D.C.
Chiropractor (Independent Medical Examiner)
4801 HIGHWAY 61 N, SUITE 100
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 429-5401
LUNDSTROM CHIROPRACTIC CENTERS, INC.
Clinic/Center
4801 HIGHWAY 61 N, SUITE 100
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 429-6401
DR. TY EVAN PAULICK D.C.
Chiropractor
4801 HIGHWAY 61 N, SUITE 105
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 762-5433

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 Healthsource Of White Bear Lake, PLLC's NPI number?

The NPI number for Healthsource Of White Bear Lake, PLLC is 1073767372. It was assigned to this organization in the NPPES registry on November 13, 2008.

Where is Healthsource Of White Bear Lake, PLLC located?

Healthsource Of White Bear Lake, PLLC is located at 4801 Highway 61 N 105, White Bear Lake, MN 55110. The listed phone number is (651) 762-5433.

What is Healthsource Of White Bear Lake, PLLC's specialty?

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

What insurance does Healthsource Of White Bear Lake, PLLC accept?

Health plans from HealthPartners list Healthsource Of White Bear Lake, PLLC 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 Healthsource Of White Bear Lake, PLLC was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.