ACTIVE FAMILY CHIROPRACTIC
NPI 1407047582
Chiropractor in Plymouth, MN

Active since August 05, 2007
3390 ANNAPOLIS LN N STE C, PLYMOUTH, MN 55447(763) 553-0387 Get Directions Write a Review

NPPES record last updated: January 11, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Active Family Chiropractic NPPES

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

ACTIVE FAMILY CHIROPRACTIC (NPI 1407047582) is a healthcare organization registered as a chiropractor in Plymouth, Minnesota and active in the NPI registry since August 2007. The organization lists Lori Kristine Goodsell, President, as its authorized official.

NPPES Registry Identity

NPI1407047582
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE FAMILY CHIROPRACTIC
Location Address3390 ANNAPOLIS LN N STE CPlymouth, MN 55447-5379
Mailing Address3390 Annapolis Ln N Ste CPlymouth, MN 55447-5379 · (763) 553-0387
Organization SubpartNo
Authorized OfficialLori Kristine GoodsellPresident · (763) 553-0387
Enumeration DateAugust 5, 2007
Last NPPES UpdateJanuary 11, 2008
NPI 1407047582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in MN · 3850
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.
3390 ANNAPOLIS LN N STE C, Plymouth, MN 55447

Other Identifiers 1

Medicare PINC03843MN

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

Other Providers at the Same Location NPPES

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

Psychologist (Clinical)
3390 ANNAPOLIS LN N STE C
PLYMOUTH, MN 55447

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 Active Family Chiropractic's NPI number?

The NPI number for Active Family Chiropractic is 1407047582. It was assigned to this organization in the NPPES registry on August 5, 2007.

Where is Active Family Chiropractic located?

Active Family Chiropractic is located at 3390 Annapolis Ln N Ste C, Plymouth, MN 55447. The listed phone number is (763) 553-0387.

What is Active Family Chiropractic's specialty?

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

When was this NPI record last updated?

The NPPES record for Active Family Chiropractic was last updated on January 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.