NPIMap

Organization Active NPI

Bagley Chiropractic Clinic, P.a.

  • Chiropractor
  • Bagley, MN
National Provider Identifier
1154408987
Registry record updated Apr 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4858 Issued in MN
Legal business name
BAGLEY CHIROPRACTIC CLINIC, P.A.
Practice address
5 Clearwater Ave. NW
Bagley, MN 56621-1003
Phone
(218) 694-6253
Fax
(218) 694-6270
NPI assigned
Nov 1, 2006
Last updated
Apr 5, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2011

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

Authorized official

Name
Dr. David Andrew Galloway, D.C.
Title
President
Phone
(218) 694-6253

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4858 MN Primary

Addresses

Primary practice location

5 Clearwater Ave. NW
Bagley, MN 56621-1003

Mailing address

PO Box B
Bagley, MN 56621-1003
Phone (218) 694-6253

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301961600000",
    "number": "1154408987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX B",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566211003",
            "telephone_number": "218-694-6253",
            "fax_number": "218-694-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CLEARWATER AVE. NW",
            "city": "BAGLEY",
            "state": "MN",
            "postal_code": "566211003",
            "telephone_number": "218-694-6253",
            "fax_number": "218-694-6270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAGLEY CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2011-04-05",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-694-6253",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bagley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.