Pennebaker Clinic of Chiropractic,llc
NPI 1669527636 · Chiropractor · Eden Prairie, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pennebaker Clinic of Chiropractic,llc is a Chiropractor organization in Eden Prairie, MN (NPI 1669527636).
Provider details
- NPI number
- 1669527636
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Ian Mcneil, President(952) 941-2225
- License
- 1392 (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
19 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
Other names (DBA / former)
- Doing business as
- Platinum Chiropractoc
Registry dates
- Enumerated
- 2007-01-23
- Last updated
- 2024-04-15
- Certified
- 2024-04-15
Frequently asked questions
- What is Pennebaker Clinic of Chiropractic,llc's NPI number?
- Pennebaker Clinic of Chiropractic,llc's National Provider Identifier (NPI) is 1669527636, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pennebaker Clinic of Chiropractic,llc?
- Pennebaker Clinic of Chiropractic,llc is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Pennebaker Clinic of Chiropractic,llc located?
- Pennebaker Clinic of Chiropractic,llc's practice location on file with NPPES is 12300 Singletree Ln Ste 200, Eden Prairie, MN 55344-7964.
- What is Pennebaker Clinic of Chiropractic,llc's phone number?
- The practice phone number listed in the NPPES registry for Pennebaker Clinic of Chiropractic,llc is (952) 941-2225.
- Does Pennebaker Clinic of Chiropractic,llc accept Medicare?
- Pennebaker Clinic of Chiropractic,llc 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 Pennebaker Clinic of Chiropractic,llc?
- The authorized official listed on Pennebaker Clinic of Chiropractic,llc's NPPES record is Ian Mcneil, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pennebaker Clinic of Chiropractic,llc's NPI active?
- Yes — Pennebaker Clinic of Chiropractic,llc's NPI (1669527636) is active in the NPPES registry as of the last update on 2024-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.