Prairie View Chiropractic Clinic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3036 Issued in MN

Legal business name

PRAIRIE VIEW CHIROPRACTIC CLINIC, P.A.

Practice address

7565 Office Ridge Cir
Suite 2
Eden Prairie, MN 55344-3651

Phone

(952) 697-0054

Fax

(952) 697-0059

NPI assigned

Mar 14, 2008

Organization subpart

No

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

Authorized official

Name

Michael J Chalupsky, D.C.NPI 1346336187

Title

Owner

Phone

(952) 697-0054

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Chalupsky, DC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1346336187
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1154592434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7565 OFFICE RIDGE CIR",
            "address_2": "SUITE 2",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443651",
            "telephone_number": "952-697-0054",
            "fax_number": "952-697-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7565 OFFICE RIDGE CIR",
            "address_2": "SUITE 2",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443651",
            "telephone_number": "952-697-0054",
            "fax_number": "952-697-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VIEW CHIROPRACTIC CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "CHALUPSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-697-0054",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MN",
            "identifier": "6C214-PR",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.