Organization Active NPI

Pain & Rehabilitation Clinics Inc

  • Chiropractor
  • Saint Cloud, MN
National Provider Identifier
1043673882
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4783 Issued in MN
Legal business name
PAIN & REHABILITATION CLINICS INC
Practice address
325 33Rd Ave N
106
Saint Cloud, MN 56303-3041
Phone
(612) 584-7410
NPI assigned
Mar 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Authorized official

Name
Arthur Guzhagin, DC
Title
Ceo
Phone
(612) 584-7410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4783 MN Primary

Addresses

Primary practice location

325 33Rd Ave N
106
Saint Cloud, MN 56303-3041

Mailing address

325 33Rd Ave N
106
Saint Cloud, MN 56303-3041

National Provider Directory

National Provider Directory

Locations

325 33rd Ave N
Ste 106
Saint Cloud, MN 56303
Phone (612) 584-7410

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459296000000",
    "number": "1043673882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 33RD AVE N",
            "address_2": "106",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 33RD AVE N",
            "address_2": "106",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563033041",
            "telephone_number": "612-584-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN & REHABILITATION CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A",
        "authorized_official_last_name": "GUZHAGIN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-584-7410",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.