Organization Active NPI

Snyder Chiropractic

  • Chiropractor
  • Excelsior, MN
National Provider Identifier
1124238480
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4670 Issued in MN
Legal business name
SNYDER CHIROPRACTIC
Practice address
19285 Highway 7
Suite 3
Excelsior, MN 55331-9131
Phone
(952) 473-3366
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Angela Diane Snyder, D.C.
Title
Owner
Phone
(952) 473-3366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4670 MN Primary

Addresses

Primary practice location

19285 Highway 7
Suite 3
Excelsior, MN 55331-9131

Mailing address

19285 Highway 7
Suite 3
Excelsior, MN 55331-9131
Phone (952) 473-3366

Other names 1

  • Vine Hill Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

19285 Highway 7
Ste 3
Shorewood, MN 55331
Phone (952) 473-3366

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": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124238480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19285 HIGHWAY 7",
            "address_2": "SUITE 3",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319131",
            "telephone_number": "952-473-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19285 HIGHWAY 7",
            "address_2": "SUITE 3",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553319131",
            "telephone_number": "952-473-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNYDER CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-473-3366",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vine Hill Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Excelsior, MN

Sources for this page

  • 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.