Robert J Vornbrock, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2976 Issued in MN

Practice address

9125 Quaday Ave NE
102
Otsego, MN 55330-6651

Phone

(763) 274-0373

Fax

(763) 274-0375

NPI assigned

Nov 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sonder Chiropractic, P.a.

  • Exclusive Provider Organization
  • Deer River, MN
  • NPI 1356745681
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423008000000",
    "number": "1235206392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9125 QUADAY AVE NE",
            "address_2": "102",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306651",
            "telephone_number": "763-274-0373",
            "fax_number": "763-274-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9125 QUADAY AVE NE",
            "address_2": "102",
            "city": "OTSEGO",
            "state": "MN",
            "postal_code": "553306651",
            "telephone_number": "763-274-0373",
            "fax_number": "763-274-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORNBROCK",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2015-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235206392",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Otsego, MN
• Providers in Otsego, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.