Organization Active NPI

Eastview Family Chiropractic Clinic

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1194084376
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5647 Issued in MN
Legal business name
EASTVIEW FAMILY CHIROPRACTIC CLINIC
Practice address
1125 Woodbury Dr # 500
Woodbury, MN 55129-9291
Phone
(651) 271-6698
NPI assigned
May 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Dr. Andrew ErlandsonNPI 1518223064
Title
President
Phone
(651) 271-6698

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5647 MN Primary

Addresses

Primary practice location

1125 Woodbury Dr # 500
Woodbury, MN 55129-9291

Mailing address

1125 Woodbury Dr # 500
Woodbury, MN 55129-9291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120917000763 MN Part B Supplier - Clinic/Group Practice 9537317532 Receives reassigned benefits from 1 practitioner
Practice locations: Woodbury, MN

National Provider Directory

National Provider Directory

Locations

119 W 4th St
Ste 3
Chaska, MN 55318
Phone (952) 448-9908

1835 Gateway Dr NW
Ste 104
Minneapolis, MN 55448
Phone (763) 710-8888

1125 Woodbury Dr
Ste 500
Woodbury, MN 55129
Phone (651) 271-6698

Practitioners & affiliated clinicians

Practitioners 6

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": "1336521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1194084376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 WOODBURY DR # 500",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551299291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 WOODBURY DR # 500",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551299291",
            "telephone_number": "651-271-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTVIEW FAMILY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-09",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "ERLANDSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-271-6698",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2012; 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.