Organization Active NPI

Chiropractic Connection PLLC

  • Chiropractor
  • Waite Park, MN
National Provider Identifier
1063678357
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4622 Issued in MN
Legal business name
CHIROPRACTIC CONNECTION PLLC
Practice address
2103 Frontage Rd N
#19
Waite Park, MN 56387
Phone
(320) 252-2703
Fax
(320) 229-2647
NPI assigned
Aug 6, 2008
Organization subpart
Yes
Parent organization
CHIROPRACTIC CONNECTION PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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

Authorized official

Name
Keith R Schleper, DCNPI 1275557001
Title
Chiropractor Owner
Phone
(320) 252-2703

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4622 MN Primary

Addresses

Primary practice location

2103 Frontage Rd N
#19
Waite Park, MN 56387

Mailing address

2103 Frontage Rd N
#19
Waite Park, MN 56387
Phone (320) 252-2703

Other identifiers 1

IdentifierTypeStateIssuer
316P4CHOtherBLUE CROSS BS

Other names 1

  • Chiropractic Connection Other name

National Provider Directory

National Provider Directory
Part of
Keith R Schleper DC

Locations

2103 Frontage Rd N
Ste 19
Waite Park, MN 56387
Phone (320) 252-2703

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1063678357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 FRONTAGE RD N",
            "address_2": "#19",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "56387",
            "telephone_number": "320-252-2703",
            "fax_number": "320-229-2647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 FRONTAGE RD N",
            "address_2": "#19",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "56387",
            "telephone_number": "320-252-2703",
            "fax_number": "320-229-2647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CONNECTION PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHIROPRACTIC CONNECTION PLLC",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "SCHLEPER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIROPRACTOR OWNER",
        "authorized_official_telephone_number": "320-252-2703",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BS",
            "identifier": "316P4CH",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic Connection",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.