Active NPI
Okeefe Chiropractic Clinic Inc.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1043434616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3009
- Legal business name
- OKEEFE CHIROPRACTIC CLINIC INC.
- Practice address
- 1053 Ahland Ave.
Saint Paul, MN 55104 - Phone
- (651) 292-8072
- Fax
- (651) 292-8722
- NPI assigned
- Apr 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shannon Ann O'Keefe, DC
- Title
- Ceo
- Phone
- (651) 292-8072
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3009 | MN | Primary |
Addresses
Primary practice location
1053 Ahland Ave.
Saint Paul, MN 55104
Mailing address
1053 Ahland Ave.
Saint Paul, MN 55104
Phone (651) 292-8072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22M4OK | Other | MN | BSBC GROUP # |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Maple Grove, MN
- NPI 1962517870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1043434616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 AHLAND AVE.",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-292-8072",
"fax_number": "651-292-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 AHLAND AVE.",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55104",
"telephone_number": "651-292-8072",
"fax_number": "651-292-8722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OKEEFE CHIROPRACTIC CLINIC INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-12",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "O'KEEFE",
"authorized_official_first_name": "SHANNON",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-292-8072",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "3009",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSBC GROUP #",
"identifier": "22M4OK",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.