Active NPI
Andy Secor, DC
- Chiropractor
- Golden Valley, MN
National Provider Identifier
1073015855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6481
- Practice address
- 5801 Duluth St Ste 110
Golden Valley, MN 55422-3958 - Phone
- (763) 541-1280
- NPI assigned
- Mar 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6481 | MN | Primary |
Addresses
Primary practice location
5801 Duluth St Ste 110
Golden Valley, MN 55422-3958
Mailing address
2419 3Rd St NE
Minneapolis, MN 55418-3426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6481 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520380800000",
"number": "1073015855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2419 3RD ST NE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554183426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 DULUTH ST STE 110",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554223958",
"telephone_number": "763-541-1280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECOR",
"first_name": "ANDY",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-07",
"last_updated": "2018-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.