Organization Active NPI

Affinity Chiropractic LLCQ

  • Chiropractor
  • Minnetonka, MN
National Provider Identifier
1184922387
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5430 Issued in MN
Legal business name
AFFINITY CHIROPRACTIC LLCQ
Practice address
5100 Thimsen Ave Ste 200
Minnetonka, MN 55345-4160
Phone
(612) 564-5051
NPI assigned
Mar 11, 2011
Last updated
Mar 11, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Dr. Michael Philip KomroNPI 1881916146
Title
Doctor of Chiropractic
Phone
(612) 564-5051

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5430 MN Primary

Addresses

Primary practice location

5100 Thimsen Ave Ste 200
Minnetonka, MN 55345-4160

Mailing address

5100 Thimsen Ave Ste 200
Minnetonka, MN 55345-4160
Phone (612) 564-5051

National Provider Directory

National Provider Directory

Locations

5100 Thimsen Ave
Ste 200
Minnetonka, MN 55345
Phone (612) 564-5051

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": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1184922387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 THIMSEN AVE STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454160",
            "telephone_number": "612-564-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 THIMSEN AVE STE 200",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553454160",
            "telephone_number": "612-564-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY CHIROPRACTIC LLCQ",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "KOMRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "612-564-5051",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.