Organization Active NPI

Conscious Chiropractic Center

  • Chiropractor
  • Maple Grove, MN
National Provider Identifier
1013441443
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6347 Issued in MN
Legal business name
CONSCIOUS CHIROPRACTIC CENTER
Practice address
13786 Reimer Dr N
Maple Grove, MN 55311-2205
Phone
(763) 337-4543
NPI assigned
Apr 12, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Authorized official

Name
Makenzie Lynn Steenerson, DC
Title
Owner/Chiropractor
Phone
(763) 607-3872

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6347 MN Primary

Addresses

Primary practice location

13786 Reimer Dr N
Maple Grove, MN 55311-2205

Mailing address

13786 Reimer Dr N
Maple Grove, MN 55311-2205
Phone (763) 337-4543

Other identifiers 1

IdentifierTypeStateIssuer
1235678392OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

13786 Reimer Dr N
Maple Grove, MN 55311
Phone (763) 337-4543

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1013441443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13786 REIMER DR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112205",
            "telephone_number": "763-337-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13786 REIMER DR N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112205",
            "telephone_number": "763-337-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-12",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "STEENERSON",
        "authorized_official_first_name": "MAKENZIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "763-607-3872",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1235678392",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; 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.