Organization Active NPI

Central Chiropractic Clinic, PLC

  • Chiropractor
  • Columbia Heights, MN
National Provider Identifier
1144240953
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4209 Issued in MN
Legal business name
CENTRAL CHIROPRACTIC CLINIC, PLC
Practice address
999 50TH Ave NE Ste 107
Columbia Heights, MN 55421-1900
Phone
(763) 572-9199
NPI assigned
Jul 21, 2006
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
Bryan D Hutchison, D.C.NPI 1750304317
Title
President
Phone
(763) 572-9199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4209 MN Primary

Addresses

Primary practice location

999 50TH Ave NE Ste 107
Columbia Heights, MN 55421-1900

Mailing address

999 50TH Ave NE Ste 107
Columbia Heights, MN 55421-1900

National Provider Directory

National Provider Directory

Locations

999 50th Ave NE
Ste 107
Columbia Heights, MN 55421
Phone (763) 572-9199

Practitioners & affiliated clinicians

Practitioners 2

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": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144240953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 50TH AVE NE STE 107",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 50TH AVE NE STE 107",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211900",
            "telephone_number": "763-572-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CHIROPRACTIC CLINIC, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUTCHISON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-572-9199",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, 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.