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ANOKA FAMILY CHIROPRACTIC P.A.
NPI 1104374933
Clinic/Center - Medical Specialty in Anoka, MN

Active since September 21, 2016
1902 5TH AVE, SUITE 2, ANOKA, MN 55303(763) 427-7869(763) 427-3260 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2025, Sep 21, 2016 (2 updates tracked since 2016).

About Anoka Family Chiropractic P.a. NPPES

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

ANOKA FAMILY CHIROPRACTIC P.A. (NPI 1104374933) is a healthcare organization registered as a medical specialty in Anoka, Minnesota and active in the NPI registry since September 2016. The organization lists Katlyn Bass, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1104374933
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameANOKA FAMILY CHIROPRACTIC P.A.
Location Address1902 5TH AVE, SUITE 2Anoka, MN 55303-2578
Mailing Address1902 5th Ave, Suite 2Anoka, MN 55303-2578 · (763) 427-7869 · Fax (763) 427-3260
Phone(763) 427-7869
Fax(763) 427-3260
Organization SubpartNo
Authorized OfficialKatlyn BassChiropractor · (763) 427-7869
Enumeration DateSeptember 21, 2016
Last NPPES UpdateMay 5, 20252 updates tracked since enumeration
NPPES CertifiedMay 5, 2025
✔ NPI 1104374933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
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).
1902 5TH AVE, Anoka, MN 55303
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anoka Family Chiropractic P.a. 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 Anoka Family Chiropractic P.A., which bills Medicare for the services this clinician delivers.

Clinician (1)

Katlyn Bass, D.C.
Chiropractic
NPI 1356794135
1902 5TH AVE STE 2
Anoka, MN 55303
(763) 427-7869
✔ 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 Anoka Family Chiropractic P.A.'s NPI number?

The NPI number for Anoka Family Chiropractic P.A. is 1104374933. It was assigned to this organization in the NPPES registry on September 21, 2016.

Where is Anoka Family Chiropractic P.A. located?

Anoka Family Chiropractic P.A. is located at 1902 5th Ave Suite 2, Anoka, MN 55303. The listed phone number is (763) 427-7869.

What is Anoka Family Chiropractic P.A.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Anoka Family Chiropractic P.A. enrolled in Medicare?

Yes. Anoka Family Chiropractic P.A. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anoka Family Chiropractic P.A.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Anoka Family 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anoka Family Chiropractic P.A. was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.