Burnsville Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3401 Issued in MN

Legal business name

BURNSVILLE FAMILY CHIROPRACTIC

Practice address

13786 Frontier CT Ste 100
Burnsville, MN 55337-4832

Phone

(952) 891-1955

Fax

(952) 891-1483

NPI assigned

Aug 19, 2011

Last updated

Aug 19, 2011By 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

Chad Renwick, D.C.NPI 1780761395

Title

Owner

Phone

(952) 891-1955

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, and the practitioner matching its NPPES authorized official.

• Chad Daniel Renwick, D.C.

  • Chiropractor
  • Burnsville, MN
  • NPI 1780761395
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1184904369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13786 FRONTIER CT STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374832",
            "telephone_number": "952-891-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13786 FRONTIER CT STE 100",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374832",
            "telephone_number": "952-891-1955",
            "fax_number": "952-891-1483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURNSVILLE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "RENWICK",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-891-1955",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "674222000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Burnsville Autism Learning Center Inc
• Burnsville Carefree Living
• Burnsville Center for Add and Addictions, L.L.C.
• Burnsville Dental, P.a. (Northstar Dental Clinic)
• Burnsville Eye Clinic LLC
• Burnsville Family Physicians, P.a.
• Burnsville Orthodontic Associates PLLC (Ekim Orthodontics)
• Burnsville Surgery Center, P.a.
• Annie L Burton, MD
• Shanmeka Burton

• Chiropractor in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.