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PLATINUM CHIROPRACTOC
NPI 1669527636
Chiropractor in Eden Prairie, MN

Active since January 23, 2007
12300 SINGLETREE LN STE 200, EDEN PRAIRIE, MN 55344(952) 941-2225(952) 903-2816 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 15, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Platinum Chiropractoc NPPES

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

PLATINUM CHIROPRACTOC (NPI 1669527636) is a healthcare organization registered as a chiropractor in Eden Prairie, Minnesota and active in the NPI registry since January 2007. The organization lists Ian A Mcneil, President, as its authorized official.

NPPES Registry Identity

NPI1669527636
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NamePENNEBAKER CLINIC OF CHIROPRACTIC,LLC
Location Address12300 SINGLETREE LN STE 200Eden Prairie, MN 55344-7964
Mailing Address8140 Flying Cloud Dr, Suite 201Eden Prairie, MN 55344-5364 · (952) 941-2225 · Fax (952) 903-2816
Phone(952) 941-2225
Fax(952) 903-2816
Organization SubpartNo
Authorized OfficialIan A McneilPresident · (952) 941-2225
Enumeration DateJanuary 23, 2007
Last NPPES UpdateApril 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1669527636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in MN · 1392
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.
12300 SINGLETREE LN STE 200, Eden Prairie, MN 55344
Open in Google Maps ↗

Other Names 1

Doing Business AsPlatinum Chiropractoc

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)

Platinum Chiropractoc 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 Platinum Chiropractoc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ian Mcneil, D.C.
Chiropractic
NPI 1467641936
12300 SINGLETREE LN STE 200
Eden Prairie, MN 55344
(952) 941-2225
Same 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 Pennebaker Clinic Of Chiropractic,llc's NPI number?

The NPI number for Pennebaker Clinic Of Chiropractic,llc is 1669527636. It was assigned to this organization in the NPPES registry on January 23, 2007. The provider is doing business as Platinum Chiropractoc.

Where is Pennebaker Clinic Of Chiropractic,llc located?

Pennebaker Clinic Of Chiropractic,llc is located at 12300 Singletree Ln Ste 200, Eden Prairie, MN 55344. The listed phone number is (952) 941-2225.

What is Pennebaker Clinic Of Chiropractic,llc's specialty?

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

Is Pennebaker Clinic Of Chiropractic,llc enrolled in Medicare?

Yes. Pennebaker Clinic Of Chiropractic,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pennebaker Clinic Of Chiropractic,llc?

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

When was this NPI record last updated?

The NPPES record for Pennebaker Clinic Of Chiropractic,llc was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.