Inner Light Chiropractic, P.A.

Inner Light Chiropractic, P.A. is a healthcare organization registered as Chiropractor in Brooklyn Park, MN, holding Type 2 (organization) NPI 1396715686 since 2006. The authorized official on file is Russell Derhak, President.

✓ Active NPI ✓ Valid NPI checksum

NPI	1396715686
Entity type	Organization (Type 2)
Legal business name	Inner Light Chiropractic, P.A.
Practice address	4630 97TH AVE N, Brooklyn Park, MN, 55443
Phone	7634863945
Enumeration date	2006-01-26
Last updated in NPPES	2020-08-22

Authorized official

Name	Russell Derhak
Title	President
Phone	6127494600

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
111N00000X	Chiropractor	Primary	4717	MN

Copy-ready billing details

Provider: Inner Light Chiropractic, P.A.
NPI: 1396715686
Taxonomy: 111N00000X (Chiropractor)
Address: 4630 97TH AVE N, Brooklyn Park, MN, 55443

Providers at this address

NPI	Name	Type	Specialty	Location
1194856583	Russell Derhak	Individual	Chiropractor	Brooklyn Park, MN

Verify this record

Cross-check NPI 1396715686 against the authoritative CMS record: view Inner Light Chiropractic, P.A. on the official NPPES registry .

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 or validate an NPI number.

Frequently asked questions

Where is Inner Light Chiropractic, P.A. located?

The practice location on file with NPPES is in Brooklyn Park, MN.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.