Organization Active NPI

Garnett Chiropractic & Rehab Center, PA

  • Rehabilitation Chiropractor
  • St. Paul, MN
National Provider Identifier
1003038241
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
4384 Issued in MN
Legal business name
GARNETT CHIROPRACTIC & REHAB CENTER, PA
Practice address
876 Selby Ave.
St. Paul, MN 55104
Phone
(651) 225-4421
Fax
(651) 222-4672
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Mark Anthony Garnett, D.C.NPI 1497976062
Title
President
Phone
(651) 225-4421

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 4384 MN Primary

Addresses

Primary practice location

876 Selby Ave.
St. Paul, MN 55104

Mailing address

876 Selby Ave.
St. Paul, MN 55104
Phone (651) 225-4421

Other identifiers 2

IdentifierTypeStateIssuer
658052OtherMNCHIROCARE
404L6GAOtherMNMN BLUE CROSS BLUE SHIELD

Other names 1

  • Urban Chirpractic - St Paul Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1003038241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 SELBY AVE.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-225-4421",
            "fax_number": "651-222-4672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 SELBY AVE.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55104",
            "telephone_number": "651-225-4421",
            "fax_number": "651-222-4672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARNETT CHIROPRACTIC & REHAB CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "GARNETT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-225-4421",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "MN",
            "license": "4384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROCARE",
            "identifier": "658052",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BLUE CROSS BLUE SHIELD",
            "identifier": "404L6GA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Urban Chirpractic - St Paul",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St. Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.