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SOUTH LAKE CHIROPRACTIC PLLC
NPI 1447630223
Chiropractor in Excelsior, MN

Active since June 05, 2015
24000 HIGHWAY 7, SUITE 215, EXCELSIOR, MN 55331(952) 474-2395(952) 401-1690 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About South Lake Chiropractic Pllc NPPES

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

SOUTH LAKE CHIROPRACTIC PLLC (NPI 1447630223) is a healthcare organization registered as a chiropractor in Excelsior, Minnesota and active in the NPI registry since June 2015. The organization lists Michael Isaacson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1447630223
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameSOUTH LAKE CHIROPRACTIC PLLC
Location Address24000 HIGHWAY 7, SUITE 215Excelsior, MN 55331-2939
Mailing Address24000 Highway 7, Suite 215Excelsior, MN 55331-2939 · (952) 474-2395 · Fax (952) 401-1690
Phone(952) 474-2395
Fax(952) 401-1690
Organization SubpartNo
Authorized OfficialMichael IsaacsonCeo · (952) 474-2395
Enumeration DateJune 5, 2015
✔ NPI 1447630223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 3950998
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.
24000 HIGHWAY 7, Excelsior, MN 55331
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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Lake 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 South Lake Chiropractic PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Isaacson, DC
Chiropractic
NPI 1487647137
24000 HIGHWAY 7 STE 215
Excelsior, MN 55331
(952) 474-2395
2.3 mi

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 South Lake Chiropractic PLLC's NPI number?

The NPI number for South Lake Chiropractic PLLC is 1447630223. It was assigned to this organization in the NPPES registry on June 5, 2015.

Where is South Lake Chiropractic PLLC located?

South Lake Chiropractic PLLC is located at 24000 Highway 7 Suite 215, Excelsior, MN 55331. The listed phone number is (952) 474-2395.

What is South Lake Chiropractic PLLC's specialty?

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

Is South Lake Chiropractic PLLC enrolled in Medicare?

Yes. South Lake Chiropractic PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Lake Chiropractic PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to South Lake 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.

When was this NPI record last updated?

The NPPES record for South Lake Chiropractic PLLC was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.