Healthsource of White Bear Lake, PLLC
NPI 1073767372 · Chiropractor · White Bear Lake, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Healthsource of White Bear Lake, PLLC is a Chiropractor organization in White Bear Lake, MN (NPI 1073767372).
Provider details
- NPI number
- 1073767372
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Michael Dixon, Chiropractor(651) 762-5433
- License
- 5114 (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
17 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
- 2008-11-13
- Last updated
- 2010-02-12
Frequently asked questions
- What is Healthsource of White Bear Lake, PLLC's NPI number?
- Healthsource of White Bear Lake, PLLC's National Provider Identifier (NPI) is 1073767372, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healthsource of White Bear Lake, PLLC?
- Healthsource of White Bear Lake, PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Healthsource of White Bear Lake, PLLC located?
- Healthsource of White Bear Lake, PLLC's practice location on file with NPPES is 4801 Highway 61 N, White Bear Lake, MN 55110-2737.
- What is Healthsource of White Bear Lake, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Healthsource of White Bear Lake, PLLC is (651) 762-5433.
- Does Healthsource of White Bear Lake, PLLC accept Medicare?
- Healthsource of White Bear Lake, PLLC 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 Healthsource of White Bear Lake, PLLC?
- The authorized official listed on Healthsource of White Bear Lake, PLLC's NPPES record is Michael Dixon, Chiropractor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healthsource of White Bear Lake, PLLC's NPI active?
- Yes — Healthsource of White Bear Lake, PLLC's NPI (1073767372) is active in the NPPES registry as of the last update on 2010-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.