Cedar Island Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2018 Issued in MN

Legal business name

CEDAR ISLAND CHIROPRACTIC

Practice address

4124 Quebec Ave N Ste 207
New Hope, MN 55427-1240

Phone

(763) 205-5733

Fax

(763) 205-2785

NPI assigned

Aug 8, 2012

Last updated

Aug 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lori Tenenbaum, DCNPI 1982816245

Title

President

Phone

(763) 205-5733

Specialties & licenses 1

Addresses

Locations

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.

• Lori R Tenenbaum, DC

  • Chiropractor
  • New Hope, MN
  • NPI 1982816245
  NPD (past) Authorized official

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1174870166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 QUEBEC AVE N STE 207",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271240",
            "telephone_number": "763-205-5733",
            "fax_number": "763-205-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 QUEBEC AVE N STE 207",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554271240",
            "telephone_number": "763-205-5733",
            "fax_number": "763-205-2785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR ISLAND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "TENENBAUM",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-205-5733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Campion, OTD
• Carter C Reese DDS LTD (New Smile Orthodontics)
• Carter C Reese DDS LTD (Reese Orthodontics)
• Courtney Cashman
• Alyson E Castleman, LICSW
• Angela T Champion, PHARMD
• Pun Chang, LAC
• Beth Chinery, SLP
• Meghan Kathleen Borzenski Clark, LICSW
• Kaitlyn Coffaro, OTR/L

• Chiropractor in New Hope, MN
• Providers in New Hope, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; 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.