Active NPI
Crystal A Pfisterer, D.C.
- Chiropractor
- Minnetonka, MN
National Provider Identifier
1003148842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5264
- Practice address
- 5509 Eden Prairie Rd
Minnetonka, MN 55345-5839 - Phone
- (952) 446-7177
- Fax
- (952) 843-5650
- NPI assigned
- Feb 4, 2010
- Last updated
- Oct 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5466 | KY | |
| Chiropractor | 111N00000X | 5264 | MN | Primary |
| Independent Medical Examiner Chiropractor | 111NI0013X | 877 | MN |
Addresses
Primary practice location
5509 Eden Prairie Rd
Minnetonka, MN 55345-5839
Mailing address
8942 Xerxes Cir S
Bloomington, MN 55431-1961
Phone (952) 484-2176
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5264 | MN | MD | Mental Health Counselor |
| 5466 | KY | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiroservices, PLLC | Past | Accepting new patients | |
| Community Chiropractic PS | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Clinic/Center
- Minnetonka, MN
- NPI 1104301720
-
- Chiropractor
- Golden Valley, MN
- NPI 1356684039
-
- Chiropractor
- Olympia, WA
- NPI 1831206911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540598400000",
"number": "1003148842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8942 XERXES CIR S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554311961",
"telephone_number": "952-484-2176",
"fax_number": "952-223-1134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5509 EDEN PRAIRIE RD",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553455839",
"telephone_number": "952-446-7177",
"fax_number": "952-843-5650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFISTERER",
"first_name": "CRYSTAL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2018-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "5466",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5264",
"primary": true
},
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "MN",
"license": "877",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minnetonka, MN
- Sieglinde Iris Peterson, M.D.
- Melissa Ann Petoletti, MS, LPCC, LADC
- Mary Petruzzi, APRN
- Laura Marie Pett, MA CCC A
- Jennifer Petzoldt
- Laura Jean Philbrook, RN
- Elizabeth Lowe Robinson Phillips, DDS
- Megan Phillips, MSW, LICSW
- Phoenix Process Consultants
- Phoenix Renewal Treatment Services (One Twelve Treatment Facility)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.