Elite Chiropractic Clinic LLC

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

4346 Issued in MN

Legal business name

ELITE CHIROPRACTIC CLINIC LLC

Practice address

6001 Egan Dr Ste 110
Savage, MN 55378-4910

Phone

(952) 447-1565

Fax

(952) 447-1566

NPI assigned

Oct 16, 2007

Last updated

Oct 14, 2008By 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. Casandra J McFarland, DCNPI 1457416505

Title

Official

Phone

(952) 447-1565

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 5

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.

• Casandra J McFarland, D.C.

  • Chiropractor
  • North Bethesda, MD
  • NPI 1457416505
  NPD (past) Authorized official
• Kenneth Randall Barnett, D.C.

  • Chiropractor
  • Savage, MN
  • NPI 1669542171
  NPD (past)
• Shirley N Himanga, D.C.

  • Chiropractor
  • Savage, MN
  • NPI 1871642181
  NPD (past)
• Ian R. Land., DC

  • Chiropractor
  • Savage, MN
  • NPI 1831313980
  NPD (past)
• Bradley Dale Wildberg, DC

  • Chiropractor
  • Medford, WI
  • NPI 1528086311
  NPD (past)

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1053500090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 EGAN DR STE 110",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784910",
            "telephone_number": "952-447-1565",
            "fax_number": "952-447-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 EGAN DR STE 110",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553784910",
            "telephone_number": "952-447-1565",
            "fax_number": "952-447-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CHIROPRACTIC CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "MCFARLAND",
        "authorized_official_first_name": "CASANDRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "952-447-1565",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MN",
            "license": "4346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HSM",
            "identifier": "4111508205",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "414M4MC",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039064000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MN",
            "identifier": "414M3EL",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Marie Draxler, DC
• Girma Dufera
• Kristy Dunham, LMFT
• Eagan Eye Clinic LLC
• James R Eelkema, MD
• Agatha Epee
• Abigail Morgan Ericksen
• Justin Erickson
• Amber Ernst, CMT
• Adrienne Estes

• Orthopedic Chiropractor in Savage, MN
• Providers in Savage, MN by specialty
• Orthopedic Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.

Verify at the official NPI Registry.