NPIMap

Organization Active NPI

SLP Chiropractic, PA

  • Chiropractor
  • Excelsior, MN
National Provider Identifier
1003016296
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
701 Issued in MN
Legal business name
SLP CHIROPRACTIC, PA
Practice address
6140 Lake Linden Dr
Suite 100
Excelsior, MN 55331-2954
Phone
(952) 474-0886
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Howard Alan Fidler, DC
Title
Owner
Phone
(952) 925-4085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 701 MN Primary

Addresses

Primary practice location

6140 Lake Linden Dr
Suite 100
Excelsior, MN 55331-2954

Mailing address

6140 Lake Linden Dr
Suite 100
Excelsior, MN 55331-2954
Phone (952) 474-0886

Other names 1

  • Davis Chiropractic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davis Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1003016296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 LAKE LINDEN DR",
            "address_2": "SUITE 100",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553312954",
            "telephone_number": "952-474-0886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 LAKE LINDEN DR",
            "address_2": "SUITE 100",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553312954",
            "telephone_number": "952-474-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLP CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "FIDLER",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-925-4085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Excelsior, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.