Meghan Shogren Birt, D.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5538 Issued in MN

Practice address

8509 Jefferson LN N
Brooklyn Park, MN 55445-2119

Phone

(763) 425-4577

Fax

(763) 425-2676

NPI assigned

Jun 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Meghan Shogren Banke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Revolution Chiropractic Wellness Center PLLC

  • Chiropractor
  • Brooklyn Park, MN
  • NPI 1275778763
  NPD (past)

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1124314406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8675 MARIGOLD CIR",
            "address_2": "#106",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553447657",
            "telephone_number": "918-327-9610",
            "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": "BIRT",
        "first_name": "MEGHAN",
        "middle_name": "SHOGREN",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGHAN",
            "last_name": "BANKE",
            "middle_name": "SHOGREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Chiropractor in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.