Organization Active NPI

Robert J Torgrimson PA

  • Chiropractor
  • Duluth, MN
National Provider Identifier
1033262845
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1579 Issued in MN
Legal business name
ROBERT J TORGRIMSON PA
Practice address
1320 Kenwood Ave
Duluth, MN 55811-2342
Phone
(218) 728-3686
Fax
(218) 728-2996
NPI assigned
Jan 18, 2007
Last updated
Oct 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Dr. Robert James Torgrimson, DC D AB CONPI 1679649818
Title
Owner Doctor
Phone
(218) 728-3686

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
Chiropractor 111N00000X 1579 MN Primary

Addresses

Primary practice location

1320 Kenwood Ave
Duluth, MN 55811-2342

Mailing address

1320 Kenwood Ave
Duluth, MN 55811-2342
Phone (218) 728-3686

Other identifiers 1

IdentifierTypeStateIssuer
930527100MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080806000222 MN Part B Supplier - Clinic/Group Practice 1658445820 Receives reassigned benefits from 2 practitioners
Practice locations: Duluth, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1033262845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 KENWOOD AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112342",
            "telephone_number": "218-728-3686",
            "fax_number": "218-728-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 KENWOOD AVE",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112342",
            "telephone_number": "218-728-3686",
            "fax_number": "218-728-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J TORGRIMSON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "TORGRIMSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "218-728-3686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC D AB CO"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930527100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.