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LIVING LIFE CHIROPRACTIC, PLLC
NPI 1386208650
Chiropractor in Shakopee, MN

Active since April 23, 2019
1226 4TH AVE E STE 140, SHAKOPEE, MN 55379(612) 787-7246 Get Directions Write a Review

NPPES record last updated: April 23, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Living Life Chiropractic, Pllc NPPES

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

LIVING LIFE CHIROPRACTIC, PLLC (NPI 1386208650), doing business as Functional Chiropractic And Laser, is a healthcare organization registered as a chiropractor in Shakopee, Minnesota and active in the NPI registry since April 2019. The organization lists Jay E Wanken, Owner, as its authorized official.

NPPES Registry Identity

NPI1386208650
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIVING LIFE CHIROPRACTIC, PLLC
Location Address1226 4TH AVE E STE 140Shakopee, MN 55379-3641
Mailing Address1226 4th Ave E Ste 140Shakopee, MN 55379-3641
Phone(612) 787-7246
Organization SubpartNo
Authorized OfficialJay E WankenOwner · (612) 787-7246
Enumeration DateApril 23, 2019
✔ NPI 1386208650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
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.
1226 4TH AVE E STE 140, Shakopee, MN 55379
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Other Names 1

Doing Business AsFunctional Chiropractic And Laser

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Living Life Chiropractic, Pllc 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 Living Life Chiropractic, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jay Wanken, DC
Chiropractic
NPI 1245347905
1226 4TH AVE E STE 140
Shakopee, MN 55379
(612) 787-7246
✔ 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 Living Life Chiropractic, PLLC's NPI number?

The NPI number for Living Life Chiropractic, PLLC is 1386208650. It was assigned to this organization in the NPPES registry on April 23, 2019. The provider is doing business as Functional Chiropractic and Laser.

Where is Living Life Chiropractic, PLLC located?

Living Life Chiropractic, PLLC is located at 1226 4th Ave E Ste 140, Shakopee, MN 55379. The listed phone number is (612) 787-7246.

What is Living Life Chiropractic, PLLC's specialty?

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

Is Living Life Chiropractic, PLLC enrolled in Medicare?

Yes. Living Life Chiropractic, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Living Life Chiropractic, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Living Life Chiropractic, PLLC. 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 Living Life Chiropractic, PLLC accept?

Health plans from HealthPartners list Living Life Chiropractic, PLLC 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 Living Life Chiropractic, PLLC was last updated on April 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.