Organization Active NPI

Chiropractic Health Care of St. Paul P.a.

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1225180359
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC HEALTH CARE OF ST. PAUL P.A.
Practice address
1386 7TH St W
Saint Paul, MN 55102-4206
Phone
(651) 293-9200
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Ian Grunberg
Title
President
Phone
(651) 293-9200

Specialties & licenses 1

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

Addresses

Primary practice location

1386 7TH St W
Saint Paul, MN 55102-4206

Mailing address

1386 7TH St W
Saint Paul, MN 55102-4206
Phone (651) 293-9200

Other identifiers 1

IdentifierTypeStateIssuer
06070GROtherMNBCBSM

National Provider Directory

National Provider Directory

Locations

1386 7th St W
Saint Paul, MN 55102
Phone (651) 293-9200

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1225180359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1386 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024206",
            "telephone_number": "651-293-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 7TH ST W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551024206",
            "telephone_number": "651-293-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH CARE OF ST. PAUL P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "GRUNBERG",
        "authorized_official_first_name": "IAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-293-9200"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "06070GR",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.