Z Spine and Joint Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4792 Issued in MN

Legal business name

Z SPINE AND JOINT CENTER, LLC

Practice address

1121 Town Centre Dr
Suite 105
Eagan, MN 55123-1199

Phone

(651) 686-6686

NPI assigned

Jan 15, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bradley J Zupancich, D.C

Title

Owner

Phone

(952) 454-1842

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083765234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44130",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553441130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 TOWN CENTRE DR",
            "address_2": "SUITE 105",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551231199",
            "telephone_number": "651-686-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Z SPINE AND JOINT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUPANCICH",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-454-1842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Eagan, MN
• Providers in Eagan, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.