Chiroflex PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIROFLEX PLLC

Practice address

1103 W Burnsville Pkwy Ste 120
Burnsville, MN 55337-5829

Phone

(320) 699-0695

NPI assigned

May 16, 2023

Organization subpart

No

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

Authorized official

Name

Derek Fruetel, DC

Title

Owner/Chiropractor

Phone

(320) 699-0695

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1114618618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W BURNSVILLE PKWY STE 120",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W BURNSVILLE PKWY STE 120",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553375829",
            "telephone_number": "320-699-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROFLEX PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "FRUETEL",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "320-699-0695",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.