Organization Active NPI

Mayfield Chiropractic, P.a.

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1083899595
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4307 Issued in MN
Legal business name
MAYFIELD CHIROPRACTIC, P.A.
Practice address
1221 W Lake St
102
Minneapolis, MN 55408-3397
Phone
(612) 874-0705
Fax
(612) 874-0713
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Dr. Eric Mayfield, D.C.
Title
Owner/Chiropractor
Phone
(612) 874-0705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4307 MN Primary

Addresses

Primary practice location

1221 W Lake St
102
Minneapolis, MN 55408-3397

Mailing address

1221 W Lake St
102
Minneapolis, MN 55408-3397
Phone (612) 874-0705

Other identifiers 1

IdentifierTypeStateIssuer
587493900MedicaidMN

Other names 1

  • Mayfield Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1221 W Lake St
Ste 102
Minneapolis, MN 55408
Phone (612) 874-0705

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": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1083899595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W LAKE ST",
            "address_2": "102",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083397",
            "telephone_number": "612-874-0705",
            "fax_number": "612-874-0713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W LAKE ST",
            "address_2": "102",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083397",
            "telephone_number": "612-874-0705",
            "fax_number": "612-874-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYFIELD CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "MAYFIELD",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "612-874-0705",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "587493900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mayfield Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.