Dianne L. Como, DC, PA

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3191 Issued in MN

Legal business name

DIANNE L. COMO, DC, PA

Practice address

669 Winnetka Ave N
Suite 202
Golden Valley, MN 55427-4574

Phone

(763) 595-9096

Fax

(763) 595-0291

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Dianne L. Como, D.C.

Title

Owner/President/Chiropractor

Phone

(763) 595-9096

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Back in Shape Chiropractic Doing business as

Practitioners 1

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

• Chris Larson, D.C.

  • Chiropractor
  • Mounds View, MN
  • NPI 1750387551
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1205933306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 WINNETKA AVE N",
            "address_2": "SUITE 202",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274574",
            "telephone_number": "763-595-9096",
            "fax_number": "763-595-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "669 WINNETKA AVE N",
            "address_2": "SUITE 202",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554274574",
            "telephone_number": "763-595-9096",
            "fax_number": "763-595-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANNE L. COMO, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "COMO",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "763-595-9096",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "3191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55F12CO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889027700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back in Shape Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dental Partners of Minnesota, LTD
• Jenny Tessa Derasmi, COTA/L
• Laura Deshotels, PT, DPT
• Carley Ellen Devee, PHARMD
• Jodi Lynn Dezale, MA CCC SLP
• Andrea Dickinson
• John Kent Dickson, RPH
• Lori Dickson, RPH
• Benjamin Alan Dingman
• Fartun Dirie

• Clinic/Center in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.