NPIMap

Organization Active NPI

Jeffrey M Mies DC Inc

Doing business as Granite City Chiropractic

  • Chiropractor
  • Saint Cloud, MN
National Provider Identifier
1013056472
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2962 Issued in MN
Legal business name
JEFFREY M MIES DC INC
Doing business as
Granite City Chiropractic
Practice address
1747 7TH St S
Saint Cloud, MN 56301-4047
Phone
(320) 251-0822
Fax
(320) 202-0602
NPI assigned
Feb 5, 2007
Last updated
Jul 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Jeffrey Michael Mies, DCNPI 1295831469
Title
President
Phone
(320) 251-0822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 2962 MN Primary

Addresses

Primary practice location

1747 7TH St S
Saint Cloud, MN 56301-4047

Mailing address

1747 7TH St S
Saint Cloud, MN 56301-4047
Phone (320) 251-0822

Other names 1

  • Granite City Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1747 7th St S
Saint Cloud, MN 56301
Phone (320) 251-0822

310 3rd St NE
Waite Park, MN 56387
Phone (320) 281-5243

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1013056472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 7TH ST S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014047",
            "telephone_number": "320-251-0822",
            "fax_number": "320-202-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 7TH ST S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014047",
            "telephone_number": "320-251-0822",
            "fax_number": "320-202-0602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY M MIES DC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "MIES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-251-0822",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granite City Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.