Innovative Chiropractic Center
NPI 1790182335ActiveOrganization· Chiropractor· Red Wing, MN
Chiropractor in Red Wing, Minnesota, registered in NPPES in November 2014. The authorized official on file is Ryan Shane Lystad, D.C., Co-Owner.
Overview
| NPI | 1790182335 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 25, 2014 |
| Last updated in NPPES | Nov 25, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5977 | MN |
| Chiropractor | 111N00000X | 5976 | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 29 chiropractors in Red Wing · All chiropractors in Minnesota