Active NPI
Andrew Robert Coulson, D.C.
- Chiropractor
- Maple Grove, MN
National Provider Identifier
1003005018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4988
- Practice address
- 13800 83Rd Way N
Suite 108
Maple Grove, MN 55369-7016 - Phone
- (763) 494-0828
- Fax
- (763) 494-0856
- NPI assigned
- Oct 16, 2007
- Last updated
- Oct 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4988 | MN | Primary |
Addresses
Primary practice location
13800 83Rd Way N
Suite 108
Maple Grove, MN 55369-7016
Mailing address
13800 83Rd Way N
Suite 108
Maple Grove, MN 55369-7016
Phone (763) 494-0828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13800 83Rd Way N
Suite 108
Maple Grove, MN 55369-7016
Phone (763) 494-0828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4988 | MN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coulson Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
| Gregory P Goihl P.a | Chiropractor | Past | Accepting new patients |
Locations
13800 83rd Way N
Ste 108
Maple Grove, MN 55369
Phone (763) 494-0828
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192492800000",
"number": "1003005018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13800 83RD WAY N",
"address_2": "SUITE 108",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697016",
"telephone_number": "763-494-0828",
"fax_number": "763-494-0856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 83RD WAY N",
"address_2": "SUITE 108",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697016",
"telephone_number": "763-494-0828",
"fax_number": "763-494-0856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULSON",
"first_name": "ANDREW",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-16",
"last_updated": "2007-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
- Cortex Rehabilitation LLC
- Costco Wholesale Corporation (Costco Optical #648)
- Costco Wholesale Corporation (Costco Hearing Aid #648)
- Costco Wholesale Corporation
- Coulson Chiropractic, LLC (Maple Grove Chiropractic)
- Morgan Coulson, CNP, FNP-BC
- Justin Coulter, PSY.D.
- Theresa S. Covert, M.D.
- Michaela Marie Craigan
- Ivori Darnicia Crawford, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.