Organization Active NPI

Maki Chiropractic LLC

  • Chiropractor
  • Blaine, MN
National Provider Identifier
1063961779
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6368 Issued in MN
Legal business name
MAKI CHIROPRACTIC LLC
Practice address
607 County Road 10 NE
Suite 104
Blaine, MN 55434-2373
Phone
(763) 432-3921
NPI assigned
Sep 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Lance Maki, D.C.
Title
Owner/Provider
Phone
(608) 347-1137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6368 MN Primary

Addresses

Primary practice location

607 County Road 10 NE
Suite 104
Blaine, MN 55434-2373

Mailing address

607 County Road 10 NE
Suite 104
Blaine, MN 55434-2373
Phone (763) 432-3921

National Provider Directory

National Provider Directory

Locations

607 County Road 10 NE
Ste 104
Minneapolis, MN 55434
Phone (763) 432-3921

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1063961779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 COUNTY ROAD 10 NE",
            "address_2": "SUITE 104",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342373",
            "telephone_number": "763-432-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 COUNTY ROAD 10 NE",
            "address_2": "SUITE 104",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554342373",
            "telephone_number": "763-432-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAKI CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-23",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "MAKI",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "608-347-1137",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2016; 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.