Fishtrap Lake Enterprises Inc. is a Chiropractor (organization) practicing in Burnsville, Minnesota. The National Provider Identifier (NPI) is #1497052898, which was assigned on February 21, 2011, and the registration record was last updated on March 6, 2012. The practitioner's main practice location is at 3701 Highway 13 W, Burnsville, MN 55337-1721; the contact telephone number is 9528951120, and the fax number is 9528955377. The primary taxonomy of Fishtrap Lake Enterprises Inc. is Chiropractor (111N00000X). The authorized official for Fishtrap Lake Enterprises Inc. is Dr. Michael Edward Novak (Ceo).
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
| NPI | 1497052898 |
| Entity Type | Organization |
| Organization Name | FISHTRAP LAKE ENTERPRISES INC. |
| Provider Name | FISHTRAP LAKE ENTERPRISES INC. |
| Practice Address |
3701 Highway 13 W Burnsville MN 55337-1721 |
| Practice Telephone | 9528951120 |
| Practice Fax Number | 9528955377 |
| Mailing Address |
3701 Highway 13 W Burnsville MN 55337-1721 |
| Mailing Telephone | 9528951120 |
| Mailing Fax Number | 9528955377 |
| Enumeration Date | 2011-02-21 |
| Last Update Date | 2012-03-06 |
| Is Organization Subpart | N |
| Official Name | DR. MICHAEL EDWARD NOVAK |
| Official Title | CEO |
| Credential | D.C. |
| Telephone | 9528951120 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 193400000X SINGLE SPECIALTY GROUP |
| Other Organization Name | Type |
|---|---|
| Hidden Valley Chiropractic | Doing Business As Name |
| Code | 111N00000X |
| Taxonomy | Chiropractor |
| Classification | Chiropractor |
| Grouping | Chiropractic Providers |
| Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
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| Street Address |
3701 HIGHWAY 13 W |
| City | BURNSVILLE |
| State | MN |
| Zip Code | 55337-1721 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Michael Edward Novak | 3701 Highway 13 W, Burnsville, MN 55337-1721 | Chiropractor | 2007-01-10 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Narsa Abdirahman Hassan | 1601 Mn-13e, Burnsville, MN 55337 | Behavior Technician | 2024-07-02 |
| Julia Backlund | 472 W Travelers Trail, Burnsville, MN 55337 | Behavior Technician | 2023-05-24 |
| Basil Iqbal | 1601 Mn-13 Suite 204, Burnsville, MN 55337 | Behavior Technician | 2024-05-06 |
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| Zakariye Osman | 1523 Mn 13 E, Burnsville, MN 55337 | Behavior Technician | 2024-02-14 |
| Layla Mahamed Dahir | 1601 Mn-13n Suite#204, Burnsville, MN 55337 | Behavior Technician | 2024-04-24 |
| Ihtimat Abdulrahim Mohamed | 1523 Mn-13e, Burnsville, MN 55337 | Behavior Technician | 2024-02-12 |
| Amanda Rose Meyers | Fairview Ridges Hospital, 201 E Nicollet Blvd, Burnsville, MN 55337 | Mental Health Counselor | 2024-05-20 |
| Peggy Anne Markee | 1517 Highway 13 E, Burnsville, Burnsville, MN 55337 | Counselor | 2025-02-24 |
| Abdulhakiim Burhan Cumar | 1601 Mn 13 N., Burnsville, MN 55337 | Behavior Technician | 2024-10-02 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |