Active NPI
Plymouth Chirocenter LLC
- Chiropractor
- Plymouth, MN
National Provider Identifier
1063013340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- PLYMOUTH CHIROCENTER LLC
- Practice address
- 3900 Vinewood LN N Ste 19
Plymouth, MN 55441-1155 - Phone
- (763) 559-9236
- Fax
- (763) 559-4856
- NPI assigned
- Nov 4, 2020
- 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. John Thomas Allenburg, DC
- Title
- President
- Phone
- (952) 212-7489
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
3900 Vinewood LN N Ste 19
Plymouth, MN 55441-1155
Mailing address
3900 Vinewood LN N Ste 19
Plymouth, MN 55441-1155
Phone (763) 559-9236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Robbinsdale, MN
- NPI 1467534651
-
- Chiropractor
- Waite Park, MN
- NPI 1306650163
-
- Chiropractor
- Plymouth, MN
- NPI 1942658612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729728000000",
"number": "1063013340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 VINEWOOD LN N STE 19",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554411155",
"telephone_number": "763-559-9236",
"fax_number": "763-559-4856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 VINEWOOD LN N STE 19",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554411155",
"telephone_number": "763-559-9236",
"fax_number": "763-559-4856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLYMOUTH CHIROCENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-04",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"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": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.