DR. CHAD HERRBOLDT D.C.
NPI 1124433099
Chiropractor in Maple Grove, MN

Active since June 30, 2014
7835 MAIN ST N STE 230, MAPLE GROVE, MN 55369(763) 600-6450 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Chad Herrboldt D.c. NPPES

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

DR. CHAD HERRBOLDT D.C. (NPI 1124433099) is an individual chiropractor in Maple Grove, Minnesota, licensed in Minnesota (5945) and active in the NPI registry since June 2014. He maintains a secondary practice location in Hartford and is a graduate of Northwestern College Of Chiropractic (2014).

NPPES Registry Identity

NPI1124433099
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. CHAD HERRBOLDTCredential: D.C.
Location Address7835 MAIN ST N STE 230Maple Grove, MN 55369-7072
Mailing Address7835 Main St N Ste 230Maple Grove, MN 55369-7072 · (763) 600-6450
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 2014
Enumeration DateJune 30, 2014
Last NPPES UpdateFebruary 17, 2022
NPPES CertifiedFebruary 4, 2022
NPI 1124433099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 5945
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.
7835 MAIN ST N STE 230, Maple Grove, MN 55369

Secondary Practice Location 1

Location 1304 W Hwy 38 #122Hartford, SD 57033 · Phone (605) 528-6240

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Chad Herrboldt D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719105170
PECOS Enrollment IDI20221111002328

Other Providers at the Same Location NPPES

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

Chiropractor
7835 MAIN ST N STE 230
MAPLE GROVE, MN 55369

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 Chad Herrboldt's NPI number?

The NPI number for Chad Herrboldt is 1124433099. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Chad Herrboldt located?

Chad Herrboldt practices at 7835 Main St N Ste 230, Maple Grove, MN 55369. The listed phone number is (763) 600-6450.

What is Chad Herrboldt's specialty?

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

Is Chad Herrboldt enrolled in Medicare?

Yes. Chad Herrboldt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Chad Herrboldt was last updated on February 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.