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BIRCH LAKE CHIROPRACTIC CLINIC, LLC
NPI 1255407136
Chiropractor in White Bear Lake, MN

Active since November 24, 2006
4635 WHITE BEAR PKWY, WHITE BEAR LAKE, MN 55110(651) 429-5329(651) 429-2759 Get Directions Write a Review

NPPES record last updated: March 17, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Birch Lake Chiropractic Clinic, Llc NPPES

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

BIRCH LAKE CHIROPRACTIC CLINIC, LLC (NPI 1255407136) is a healthcare organization registered as a chiropractor in White Bear Lake, Minnesota and active in the NPI registry since November 2006. The organization lists Grant Erickson, Owner, as its authorized official.

NPPES Registry Identity

NPI1255407136
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBIRCH LAKE CHIROPRACTIC CLINIC, LLC
Location Address4635 WHITE BEAR PKWYWhite Bear Lake, MN 55110-3300
Mailing Address4635 White Bear PkwyWhite Bear Lake, MN 55110-3300 · (651) 429-5329 · Fax (651) 429-2759
Phone(651) 429-5329
Fax(651) 429-2759
Organization SubpartNo
Authorized OfficialGrant EricksonOwner · (651) 429-5329
Enumeration DateNovember 24, 2006
Last NPPES UpdateMarch 17, 2010
✔ NPI 1255407136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 751
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.
4635 WHITE BEAR PKWY, White Bear Lake, MN 55110
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Other Identifiers 5

Medicare UPINU62879
Other6763511-00Mhcp
Medicare ID-Type UnspecifiedC04137Medicare Clinic
Other231600Acn
Other273GOBIBcbs - Clinic #

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 2

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

KIMBERLEY M MINTELL DC
Chiropractor
4635 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (612) 801-1099
DR. GRANT ERICKSON D.C.
Chiropractor
4635 WHITE BEAR PKWY
WHITE BEAR LAKE, MN 55110
Ramsey County (651) 429-5329

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 Birch Lake Chiropractic Clinic, LLC's NPI number?

The NPI number for Birch Lake Chiropractic Clinic, LLC is 1255407136. It was assigned to this organization in the NPPES registry on November 24, 2006.

Where is Birch Lake Chiropractic Clinic, LLC located?

Birch Lake Chiropractic Clinic, LLC is located at 4635 White Bear Pkwy, White Bear Lake, MN 55110. The listed phone number is (651) 429-5329.

What is Birch Lake Chiropractic Clinic, LLC's specialty?

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

What insurance does Birch Lake Chiropractic Clinic, LLC accept?

Health plans from HealthPartners list Birch Lake Chiropractic Clinic, 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 Birch Lake Chiropractic Clinic, LLC was last updated on March 17, 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.