Marty Chiropractic-Excelsior Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MARTY CHIROPRACTIC-EXCELSIOR INC

Practice address

464 Second Street
Suite 200
Excelsior, MN 55331

Phone

(952) 474-4121

Fax

(952) 474-8391

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Phillip Mark Marty, DC

Title

President & Chief Executive Officie

Phone

(952) 474-4121

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• John George Hoklin, D.C.

  • Chiropractor
  • Golden Valley, MN
  • NPI 1063430882
  NPD (past)
• Giovanni Riva, CMT

  • Massage Therapist
  • Excelsior, MN
  • NPI 1134559339
  NPD (past)
• Leah Marie Soltis, DC

  • Chiropractor
  • Waconia, MN
  • NPI 1144359050
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003830787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 SECOND STREET",
            "address_2": "SUITE 200",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "55331",
            "telephone_number": "952-474-4121",
            "fax_number": "952-474-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 SECOND STREET",
            "address_2": "SUITE 200",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "55331",
            "telephone_number": "952-474-4121",
            "fax_number": "952-474-8391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTY CHIROPRACTIC-EXCELSIOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTY",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICIE",
        "authorized_official_telephone_number": "952-474-4121",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "10872MA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Magdsick, CRNA
• Emily Marrs, LMFT
• Natalie Marie Martin, SLP
• Shelby Martin, ATC
• Nancy J. Martino, M.A.
• Phillip Mark Marty, DC
• Andres Bernard Masis, DPT, ATC/R
• Valetta Johnson Massaquoi, MSN, APRN, FNP-BC
• Abby Master
• McSharry Chiro LLC

• Chiropractor in Excelsior, MN
• Providers in Excelsior, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.