Collins Chiropractic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4285 Issued in MN

Legal business name

COLLINS CHIROPRACTIC PA

Practice address

16670 Franklin TRL SE
Suite 120C
Prior Lake, MN 55372-2924

Phone

(952) 447-5770

Fax

(952) 447-5780

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Annette Marion Collins, PC

Title

Dr of Chiropractic Officer

Phone

(952) 447-5770

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1063559078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16670 FRANKLIN TRL SE",
            "address_2": "SUITE 120C",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722924",
            "telephone_number": "952-447-5770",
            "fax_number": "952-447-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16670 FRANKLIN TRL SE",
            "address_2": "SUITE 120C",
            "city": "PRIOR LAKE",
            "state": "MN",
            "postal_code": "553722924",
            "telephone_number": "952-447-5770",
            "fax_number": "952-447-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLINS CHIROPRACTIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "MARION",
        "authorized_official_title_or_position": "DR OF CHIROPRACTIC OFFICER",
        "authorized_official_telephone_number": "952-447-5770",
        "authorized_official_credential": "PC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "991S9CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088434100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Chuppa, CMT
• Kimberly Ann Churchill
• Cities Care
• Barbara Clare, MS, LMFT
• Julie E Clouse, DDS
• Annette M Collins, DC
• Community Assisted Living, Inc
• Comsult Enterprises, LLC
• Connie Cares LLC
• Consult Care LLC

• Chiropractor in Prior Lake, MN
• Providers in Prior Lake, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.