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SPORTWORKS ACTIVE CHIROPRACTIC, LLC
NPI 1114331667
Chiropractor in Minneapolis, MN

Active since June 12, 2014
1629 HENNEPIN AVE, SUITE 250, MINNEAPOLIS, MN 55403(612) 486-5554 Get Directions Write a Review

NPPES record last updated: October 19, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sportworks Active Chiropractic, Llc NPPES

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

SPORTWORKS ACTIVE CHIROPRACTIC, LLC (NPI 1114331667) is a healthcare organization registered as a chiropractor in Minneapolis, Minnesota and active in the NPI registry since June 2014. The organization lists Sam Lezon, Owner, as its authorized official.

NPPES Registry Identity

NPI1114331667
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSPORTWORKS ACTIVE CHIROPRACTIC, LLC
Location Address1629 HENNEPIN AVE, SUITE 250Minneapolis, MN 55403-1742
Mailing Address1629 Hennepin Ave, Suite 250Minneapolis, MN 55403-1742
Phone(612) 486-5554
Organization SubpartNo
Authorized OfficialSam LezonOwner · (612) 486-5554
Enumeration DateJune 12, 2014
Last NPPES UpdateOctober 19, 2015
✔ NPI 1114331667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 5931
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.
1629 HENNEPIN AVE, Minneapolis, MN 55403
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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

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

DR. SAM LEZON D.C.
Chiropractor
1629 HENNEPIN AVE, SUITE 250
MINNEAPOLIS, MN 55403
Hennepin County (612) 486-5554

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 Sportworks Active Chiropractic, LLC's NPI number?

The NPI number for Sportworks Active Chiropractic, LLC is 1114331667. It was assigned to this organization in the NPPES registry on June 12, 2014.

Where is Sportworks Active Chiropractic, LLC located?

Sportworks Active Chiropractic, LLC is located at 1629 Hennepin Ave Suite 250, Minneapolis, MN 55403. The listed phone number is (612) 486-5554.

What is Sportworks Active Chiropractic, LLC's specialty?

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

What insurance does Sportworks Active Chiropractic, LLC accept?

Health plans from HealthPartners list Sportworks Active Chiropractic, LLC 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 Sportworks Active Chiropractic, LLC was last updated on October 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.