NPIMap

Organization Active NPI

Lake Drive Chiopractic Clinic

  • Chiropractor
  • Circle Pines, MN
National Provider Identifier
1235413048
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1497 Issued in MN
Legal business name
LAKE DRIVE CHIOPRACTIC CLINIC
Practice address
8820 N Highway Dr
Circle Pines, MN 55014-3907
Phone
(763) 786-0670
Fax
(762) 786-6423
NPI assigned
Sep 29, 2011
Last updated
Sep 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. Scott J Murray, MDNPI 1912071671
Title
Chiropractor
Phone
(763) 786-0670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1497 MN Primary

Addresses

Primary practice location

8820 N Highway Dr
Circle Pines, MN 55014-3907

Mailing address

8820 N Highway Dr
Circle Pines, MN 55014-3907
Phone (763) 786-0670

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1235413048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8820 N HIGHWAY DR",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550143907",
            "telephone_number": "763-786-0670",
            "fax_number": "762-786-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8820 N HIGHWAY DR",
            "city": "CIRCLE PINES",
            "state": "MN",
            "postal_code": "550143907",
            "telephone_number": "763-786-0670",
            "fax_number": "762-786-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE DRIVE CHIOPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "763-786-0670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circle Pines, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.