Active NPI
Suzanne M. Youngquist, D.C.
- Chiropractor
- Brooklyn Park, MN
National Provider Identifier
1093961385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5016
- Practice address
- 8509 Jefferson LN N
Brooklyn Park, MN 55445-2119 - Phone
- (763) 425-4577
- Fax
- (763) 425-2676
- NPI assigned
- Aug 18, 2008
- Sex
- Female
- 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 | 5016 | MN | Primary |
Addresses
Primary practice location
8509 Jefferson LN N
Brooklyn Park, MN 55445-2119
Mailing address
8509 Jefferson LN N
Brooklyn Park, MN 55445-2119
Phone (763) 425-4577
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1093961385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8509 JEFFERSON LN N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452119",
"telephone_number": "763-425-4577",
"fax_number": "763-425-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8509 JEFFERSON LN N",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554452119",
"telephone_number": "763-425-4577",
"fax_number": "763-425-2676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGQUIST",
"first_name": "SUZANNE",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-18",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.