BIRCH LAKE CHIROPRACTIC CLINIC, LLC
NPI 1255407136
Chiropractor in White Bear Lake, MN
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
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Accepted 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)
Birch Lake Chiropractic Clinic, Llc 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 Birch Lake Chiropractic Clinic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 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.
Is Birch Lake Chiropractic Clinic, LLC enrolled in Medicare?
Yes. Birch Lake Chiropractic Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Birch Lake Chiropractic Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Birch Lake Chiropractic Clinic, LLC. 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 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.
# Birch Lake Chiropractic Clinic, Llc · NPI 1255407136
Chiropractor organization in White Bear Lake, Minnesota. Organization record, active in the CMS NPPES registry since November 24, 2006.
## Identity
- **NPI:** 1255407136 (Entity type: Organization)
- **Enumerated:** November 24, 2006
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Grant Erickson, OWNER
## Practice location
- **Address:** 4635 WHITE BEAR PKWY, White Bear Lake, MN 55110-3300
- **Phone:** (651) 429-5329 · **Fax:** (651) 429-2759
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2010
- **Other identifiers:** Medicare UPIN U62879; Other 6763511-00; Medicare ID-Type Unspecified C04137; and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1255407136) · Data from the CMS NPPES public registry.