Organization Active NPI

Dr Eric Starbuck DC LLC

  • Chiropractor
  • Maplewood, MN
National Provider Identifier
1124496385
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4864 Issued in MN
Legal business name
DR ERIC STARBUCK DC LLC
Practice address
2485 Maplewood Dr Ste 215
Maplewood, MN 55109-1980
Phone
(651) 770-7938
Fax
(651) 765-0995
NPI assigned
Sep 4, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Authorized official

Name
Dr. Eric Starbuck, D.C.
Title
Owner
Phone
(651) 770-7938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4864 MN Primary

Addresses

Primary practice location

2485 Maplewood Dr Ste 215
Maplewood, MN 55109-1980

Mailing address

2485 Maplewood Dr Ste 215
Maplewood, MN 55109-1980
Phone (651) 770-7938

Other names 1

  • Advanced Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441324800000",
    "number": "1124496385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 MAPLEWOOD DR STE 215",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091980",
            "telephone_number": "651-770-7938",
            "fax_number": "651-765-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 MAPLEWOOD DR STE 215",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091980",
            "telephone_number": "651-770-7938",
            "fax_number": "651-765-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ERIC STARBUCK DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A",
        "authorized_official_last_name": "STARBUCK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-770-7938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.

Verify at the official NPI Registry.