North Lakes Chiropractic
NPI 1760872717ActiveOrganization· Chiropractor· Grand Rapids, MN
Chiropractor in Grand Rapids, Minnesota, registered in NPPES in January 2015. The authorized official on file is Kolby Condos, D.C, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1760872717 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2015 |
| Last updated in NPPES | May 24, 2022 |
| Certified by provider | May 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 6036 | MN |
| Chiropractor | 111N00000X | 6057 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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