Apple Valley Chiropractic & Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4900 Issued in MN

Legal business name

APPLE VALLEY CHIROPRACTIC & REHAB

Practice address

14501 Granada Dr
Ste. 101
Apple Valley, MN 55124-6315

Phone

(952) 431-3003

Fax

(952) 431-3016

NPI assigned

Mar 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan James Taffe, DCNPI 1699820399

Title

Owner

Phone

(952) 431-3003

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

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

• Jonathan James Taffe, DC

  • Chiropractor
  • Apple Valley, MN
  • NPI 1699820399
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395014400000",
    "number": "1033535893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 GRANADA DR",
            "address_2": "STE. 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246315",
            "telephone_number": "952-431-3003",
            "fax_number": "952-431-3016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14501 GRANADA DR",
            "address_2": "STE. 101",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246315",
            "telephone_number": "952-431-3003",
            "fax_number": "952-431-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APPLE VALLEY CHIROPRACTIC & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-17",
        "last_updated": "2014-03-17",
        "status": "A",
        "authorized_official_last_name": "TAFFE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-431-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21913000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "350004471",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Owen Anderson, OD
• Teresa Clare Anderson, RPH
• Wendi Marie Anderson, DMFT, LMFT
• Apex Family Chiropractic LLC
• Apple Valley Chiropractic
• Apple Valley Chiropractic & Rehab
• Apple Valley Dental Care
• Apple Valley Eye Care P.a.
• Apple Valley Family Dentistry
• Apple Valley Medical Clinic, LTD.

• Chiropractor in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2014; 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.