Organization Active NPI

Northstone Family Chiropractic P.a.

  • Chiropractor
  • North Branch, MN
National Provider Identifier
1194073346
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5593 Issued in MN
Legal business name
NORTHSTONE FAMILY CHIROPRACTIC P.A.
Practice address
6041 Main St Ste E
North Branch, MN 55056-6595
Phone
(763) 232-0326
NPI assigned
Aug 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Dr. Kathryn Jo Devries, D.C.
Title
Owner/Chiropractor
Phone
(763) 232-0326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5593 MN Primary

Addresses

Primary practice location

6041 Main St Ste E
North Branch, MN 55056-6595

Mailing address

6041 Main St Ste E
North Branch, MN 55056-6595
Phone (651) 674-5040

National Provider Directory

National Provider Directory

Locations

6041 Main St
Ste E
North Branch, MN 55056
Phone (651) 674-5040

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1194073346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 MAIN ST STE E",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566595",
            "telephone_number": "651-674-5040",
            "fax_number": "651-674-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6041 MAIN ST STE E",
            "city": "NORTH BRANCH",
            "state": "MN",
            "postal_code": "550566595",
            "telephone_number": "763-232-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSTONE FAMILY CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "763-232-0326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Branch, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.