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Modern Ketamine Clinic

Infusion Therapy Clinic/Center in Maple Grove, MN · enumerated 2022 · authorized official Daniel Falvey, MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1386366532

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Registry record

Entity type Organization (Type 2)
Legal business name Modern Ketamine Clinic
Practice address 13792 Reimer Dr N, Maple Grove, MN, 55311
Phone (763) 347-2100
Fax (763) 333-7174
Enumeration date Sep 14, 2022
Last updated in NPPES May 28, 2025

Taxonomy & classification

261QI0500X Infusion Therapy Clinic/Center Ambulatory Health Care Facilities Primary
261QM1300X Multi-Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Daniel Falvey
Title MD
Phone (763) 347-2100

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Modern Ketamine Clinic?
Modern Ketamine Clinic is registered in NPPES as a Infusion Therapy Clinic/Center (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-28.