Eden Prairie Chiropractic Clinic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EDEN PRAIRIE CHIROPRACTIC CLINIC INC

Doing business as

Eden Prairie ChiroCenter

Practice address

7820 Terrey Pine CT Ste 102
Eden Prairie, MN 55347-1107

Phone

(952) 937-1226

NPI assigned

Nov 21, 2022

Last updated

Jan 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Thomas Allenburg, DC

Title

President

Phone

(952) 212-7489

Specialties & licenses 1

Addresses

Other names 1

• Eden Prairie ChiroCenter Doing business as

Locations

Practitioners 2

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.

• Mackenzie Engelstad, DC

  • Chiropractor
  • Ham Lake, MN
  • NPI 1720749781
  NPD
• Morgan Kaye Waterstraat Woods, D.C.

  • Pediatric Chiropractor
  • Robbinsdale, MN
  • NPI 1952675431
  NPD (past)

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674777600000",
    "number": "1043929813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 TERREY PINE CT STE 102",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471107",
            "telephone_number": "952-937-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 TERREY PINE CT STE 102",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471107",
            "telephone_number": "952-937-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PRAIRIE CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A",
        "authorized_official_last_name": "ALLENBURG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-212-7489",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Prairie ChiroCenter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eden Prairie ChiroCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ear Professionals International LLC (EPIC Hearing Healthcare)
• Wade Rodney Eckhoff, D.C.
• Edan Oak LLC (Edan Oak assisted living)
• Kevin R Edelman, M.D.
• Eden Lakes Dental LLC (Preserve Parkway Dental)
• Eden Prairie Eye Care
• Eden Prairie Meals on Wheels
• Eden Prairie Orthodontic Assoc
• Eden Prairie School District 272
• Eden Prairie Senior Living

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.