Organization Active NPI

Chaska Family Chiropractic, Inc.

  • Chiropractor
  • Chaska, MN
National Provider Identifier
1174837892
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
003675 Issued in MN
Legal business name
CHASKA FAMILY CHIROPRACTIC, INC.
Practice address
103 W 2ND St
Chaska, MN 55318-1907
Phone
(952) 368-9958
Fax
(952) 368-9959
NPI assigned
Aug 5, 2010
Last updated
Aug 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Authorized official

Name
Dr. Chandra K. Miller, D.C.
Title
Owner
Phone
(952) 368-9958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 003675 MN Primary

Addresses

Primary practice location

103 W 2ND St
Chaska, MN 55318-1907

Mailing address

103 W 2ND St
Chaska, MN 55318-1907
Phone (952) 368-9958

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280966400000",
    "number": "1174837892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W 2ND ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181907",
            "telephone_number": "952-368-9958",
            "fax_number": "952-368-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W 2ND ST",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553181907",
            "telephone_number": "952-368-9958",
            "fax_number": "952-368-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHASKA FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-05",
        "last_updated": "2010-08-05",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHANDRA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-368-9958",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "003675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.