1. Home
  2. Directory
  3. Minnesota
  4. Red Wing
  5. Chiropractor
  6. NPI Profile

INNOVATIVE CHIROPRACTIC CENTER
NPI 1790182335
Chiropractor in Red Wing, MN

Active since November 25, 2014
201 D EAST AVE., RED WING, MN 55041(651) 448-1481 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innovative Chiropractic Center NPPES

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

INNOVATIVE CHIROPRACTIC CENTER (NPI 1790182335) is a healthcare organization registered as a chiropractor in Red Wing, Minnesota and active in the NPI registry since November 2014. The organization lists Ryan Shane Lystad, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1790182335
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameINNOVATIVE CHIROPRACTIC CENTER
Location Address201 D EAST AVE.Red Wing, MN 55041
Mailing Address201 D East Ave.Red Wing, MN 55041 · (651) 448-1481
Phone(651) 448-1481
Organization SubpartNo
Authorized OfficialRyan Shane LystadCo-owner · (651) 448-1481
Enumeration DateNovember 25, 2014
✔ NPI 1790182335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in MN · 5977✔ Licensed in MN · 5976
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.
201 D EAST AVE., Red Wing, MN 55041
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

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 Innovative Chiropractic Center's NPI number?

The NPI number for Innovative Chiropractic Center is 1790182335. It was assigned to this organization in the NPPES registry on November 25, 2014.

Where is Innovative Chiropractic Center located?

Innovative Chiropractic Center is located at 201 D East Ave., Red Wing, MN 55041. The listed phone number is (651) 448-1481.

What is Innovative Chiropractic Center'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 Innovative Chiropractic Center was last updated on November 25, 2014. 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.