Organization Active NPI

Motion Is Life Chiropractic

  • Chiropractor
  • Chaska, MN
National Provider Identifier
1063606879
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003410 Issued in MN
Legal business name
MOTION IS LIFE CHIROPRACTIC
Practice address
424 N Chestnut St
Chaska, MN 55318-2091
Phone
(952) 448-4222
Fax
(952) 448-5393
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Robert C Sutcliffe, DC
Title
Owner
Phone
(952) 448-4222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 003410 MN Primary

Addresses

Primary practice location

424 N Chestnut St
Chaska, MN 55318-2091

Mailing address

424 N Chestnut St
Chaska, MN 55318-2091
Phone (952) 448-4222

Other identifiers 2

IdentifierTypeStateIssuer
CO4087OtherMNMEDICARE GROUP NUMBER
355G3SUOtherMNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1063606879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 N CHESTNUT ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182091",
            "telephone_number": "952-448-4222",
            "fax_number": "952-448-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N CHESTNUT ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553182091",
            "telephone_number": "952-448-4222",
            "fax_number": "952-448-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTION IS LIFE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "SUTCLIFFE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-448-4222",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "CO4087",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "355G3SU",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2007; 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.