Active NPI
Steven Craig Vanhooser, DC
- Chiropractor
- Princeton, MN
National Provider Identifier
1124198148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1677
- Practice address
- 209 Rum River Dr. N
Ste. 2
Princeton, MN 55371 - Phone
- (763) 631-2225
- Fax
- (763) 631-2226
- NPI assigned
- Nov 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1677 | MN | Primary |
Addresses
Primary practice location
209 Rum River Dr. N
Ste. 2
Princeton, MN 55371
Mailing address
209 Rum River Dr. N
Ste.2
Princeton, MN 55371
Phone (763) 631-2225
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40F52VA | Other | MN | BLUE CROSS BLUE SHEILD |
| 39F16PR | Other | MN | BLUE CROSS BLUE SHEILD |
| CC0219A | Other | MN | CHIRO CARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1677 | MN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Back and Neck Clinic PA | Chiropractor | Current | Accepting new patients |
Locations
209 Rum River Dr N
Ste 2
Princeton, MN 55371
Phone (763) 631-2225
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Princeton, MN
- NPI 1699034850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225238400000",
"number": "1124198148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "209 RUM RIVER DR. N",
"address_2": "STE.2",
"city": "PRINCETON",
"state": "MN",
"postal_code": "55371",
"telephone_number": "763-631-2225",
"fax_number": "763-631-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 RUM RIVER DR. N",
"address_2": "STE. 2",
"city": "PRINCETON",
"state": "MN",
"postal_code": "55371",
"telephone_number": "763-631-2225",
"fax_number": "763-631-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHOOSER",
"first_name": "STEVEN",
"middle_name": "CRAIG",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2008-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "40F52VA",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "39F16PR",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIRO CARE",
"identifier": "CC0219A",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.