Organization Active NPI

Dirks Chiropractic Center, Inc.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1043239221
Registry record updated Jul 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4969 Issued in MN
Legal business name
DIRKS CHIROPRACTIC CENTER, INC.
Practice address
3551 Chicago Ave
Minneapolis, MN 55407-2109
Phone
(612) 767-9900
Fax
(612) 767-1100
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2010

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

Authorized official

Name
Dr. David Richard Dirks, D.C.
Title
President
Phone
(612) 767-9900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4969 MN Primary

Addresses

Primary practice location

3551 Chicago Ave
Minneapolis, MN 55407-2109

Mailing address

3551 Chicago Ave
Minneapolis, MN 55407-2109
Phone (612) 767-9900

National Provider Directory

National Provider Directory

Locations

17595 Kenwood Trl
Ste 100
Lakeville, MN 55044
Phone (952) 236-0930

3551 Chicago Ave
Minneapolis, MN 55407
Phone (612) 767-9900

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1043239221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072109",
            "telephone_number": "612-767-9900",
            "fax_number": "612-767-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554072109",
            "telephone_number": "612-767-9900",
            "fax_number": "612-767-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRKS CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "DIRKS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-767-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; 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.