Southside Chiropractic, P.A.
NPI 1063680478 · Chiropractor · Minneapolis, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southside Chiropractic, P.A. is a Chiropractor organization in Minneapolis, MN (NPI 1063680478).
Provider details
- NPI number
- 1063680478
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Lee Herfort, Owner(612) 827-0657
- License
- 2085 (MN)
Specialties & taxonomies
Chiropractic Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-19
- Last updated
- 2008-02-19
Frequently asked questions
- What is Southside Chiropractic, P.A.'s NPI number?
- Southside Chiropractic, P.A.'s National Provider Identifier (NPI) is 1063680478, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southside Chiropractic, P.A.?
- Southside Chiropractic, P.A. is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Southside Chiropractic, P.A. located?
- Southside Chiropractic, P.A.'s practice location on file with NPPES is 5536 Chicago Ave, Minneapolis, MN 55417-2446.
- What is Southside Chiropractic, P.A.'s phone number?
- The practice phone number listed in the NPPES registry for Southside Chiropractic, P.A. is (612) 827-0657.
- Does Southside Chiropractic, P.A. accept Medicare?
- Southside Chiropractic, P.A. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southside Chiropractic, P.A.?
- The authorized official listed on Southside Chiropractic, P.A.'s NPPES record is Lee Herfort, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southside Chiropractic, P.A.'s NPI active?
- Yes — Southside Chiropractic, P.A.'s NPI (1063680478) is active in the NPPES registry as of the last update on 2008-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.