NPIMap

Organization Active NPI

Melissa Engelson, DC, PLLC

  • Chiropractor
  • Prior Lake, MN
National Provider Identifier
1003079245
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4990 Issued in MN
Legal business name
MELISSA ENGELSON, DC, PLLC
Practice address
15815 Franklin TRL SE
Suite 500
Prior Lake, MN 55372-2076
Phone
(952) 567-1005
NPI assigned
Jul 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Authorized official

Name
Dr. Melissa Engelson, DC
Title
Chiropractor/Owner
Phone
(952) 567-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4990 MN Primary

Addresses

Primary practice location

15815 Franklin TRL SE
Suite 500
Prior Lake, MN 55372-2076

Mailing address

15815 Franklin TRL SE
Suite 500
Prior Lake, MN 55372-2076

National Provider Directory

National Provider Directory

Locations

4769 Dakota St SE
Ste 1
Prior Lake, MN 55372
Phone (952) 567-1005

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215475200000",
    "number": "1003079245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15815 FRANKLIN TRL SE",
            "address_2": "SUITE 500",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15815 FRANKLIN TRL SE",
            "address_2": "SUITE 500",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722076",
            "telephone_number": "952-567-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELISSA ENGELSON, DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A",
        "authorized_official_last_name": "ENGELSON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "952-567-1005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prior Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.