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SHAKOPEE CHIROPRACTIC CENTER
NPI 1104952589
Clinic/Center - Primary Care in Shakopee, MN

Active since February 27, 2007
1240 3RD AVE E, SUITE 9, SHAKOPEE, MN 55379(952) 445-7890(952) 445-7893 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Shakopee Chiropractic Center NPPES

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

SHAKOPEE CHIROPRACTIC CENTER (NPI 1104952589) is a healthcare organization registered as a primary care in Shakopee, Minnesota and active in the NPI registry since February 2007. The organization lists Ronald Mash, Pres, as its authorized official.

NPPES Registry Identity

NPI1104952589
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRONALD S MASH PA
Location Address1240 3RD AVE E, SUITE 9Shakopee, MN 55379-1679
Mailing Address1240 3rd Ave E, Suite 9Shakopee, MN 55379-1679 · (952) 445-7890 · Fax (952) 445-7893
Phone(952) 445-7890
Fax(952) 445-7893
Organization SubpartNo
Authorized OfficialRonald MashPres · (952) 445-7890
Enumeration DateFebruary 27, 2007
Last NPPES UpdateDecember 3, 2007
✔ NPI 1104952589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1240 3RD AVE E, Shakopee, MN 55379
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Other Names 1

Doing Business AsShakopee Chiropractic Center

Other Identifiers 2

Other51413SHMN · Bcbs Of Mn
Medicare PINC07435MN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.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)

Shakopee Chiropractic Center 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 Shakopee Chiropractic Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kimberly Johnson, D.C.
Chiropractic
NPI 1003911108
1240 3RD AVE E
Shakopee, MN 55379
(952) 445-7890
✔ 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 Ronald S Mash PA's NPI number?

The NPI number for Ronald S Mash PA is 1104952589. It was assigned to this organization in the NPPES registry on February 27, 2007. The provider is doing business as Shakopee Chiropractic Center.

Where is Ronald S Mash PA located?

Ronald S Mash PA is located at 1240 3rd Ave E Suite 9, Shakopee, MN 55379. The listed phone number is (952) 445-7890.

What is Ronald S Mash PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Ronald S Mash PA enrolled in Medicare?

Yes. Ronald S Mash PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ronald S Mash PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ronald S Mash 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 Ronald S Mash PA accept?

Health plans from HealthPartners and Medica list Ronald S Mash 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 Ronald S Mash PA was last updated on December 3, 2007. 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.