Organization Active NPI

Total Family Chiropractic LLC

  • Clinic/Center
  • White Bear Lake, MN
National Provider Identifier
1063834562
Registry record updated Jul 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5876 Issued in MN
Legal business name
TOTAL FAMILY CHIROPRACTIC LLC
Practice address
1245 Gun Club Rd
Suite 102
White Bear Lake, MN 55110-3379
Phone
(651) 653-2190
NPI assigned
Jan 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2014

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

Authorized official

Name
Dr. Ashley Rath, D.C.
Title
Owner
Phone
(651) 653-2190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5876 MN Primary

Addresses

Primary practice location

1245 Gun Club Rd
Suite 102
White Bear Lake, MN 55110-3379

Mailing address

1245 Gun Club Rd
Suite 102
White Bear Lake, MN 55110-3379
Phone (651) 653-2190

National Provider Directory

National Provider Directory

Locations

1245 Gun Club Rd
Ste 102
White Bear Lake, MN 55110
Phone (651) 484-9009

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": "1389916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404864000000",
    "number": "1063834562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 GUN CLUB RD",
            "address_2": "SUITE 102",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103379",
            "telephone_number": "651-653-2190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 GUN CLUB RD",
            "address_2": "SUITE 102",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551103379",
            "telephone_number": "651-653-2190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-17",
        "last_updated": "2014-07-09",
        "status": "A",
        "authorized_official_last_name": "RATH",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-653-2190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "5876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Bear Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2014; 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.