NPIMap

Organization Active NPI

Minnetonka Family Chiropractic LLC

  • Primary Care Clinic/Center
  • Minnetonka, MN
National Provider Identifier
1023398138
Registry record updated Sep 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MINNETONKA FAMILY CHIROPRACTIC LLC
Practice address
11349 Highway 7
Minnetonka, MN 55305-5300
Phone
(952) 229-8750
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2011

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

Authorized official

Name
Dr. Peter Jon Gianforte, D.C.NPI 1962782060
Title
Owner
Phone
(952) 322-0323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MN Primary

Addresses

Primary practice location

11349 Highway 7
Minnetonka, MN 55305-5300

Mailing address

11349 Highway 7
Minnetonka, MN 55305-5300
Phone (952) 229-8750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110922000142 MN Part B Supplier - Clinic/Group Practice 8224209358 Receives reassigned benefits from 3 practitioners
Practice locations: Minnetonka, MN

National Provider Directory

National Provider Directory

Locations

11349 Highway 7
Minnetonka, MN 55305
Phone (952) 229-8750

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315612800000",
    "number": "1023398138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11349 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055300",
            "telephone_number": "952-229-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11349 HIGHWAY 7",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553055300",
            "telephone_number": "952-229-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNETONKA FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-09-10",
        "status": "A",
        "authorized_official_last_name": "GIANFORTE",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-322-0323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.