Organization Active NPI

Minnesota Chiropractic Center, PA

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1235479106
Registry record updated Feb 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MINNESOTA CHIROPRACTIC CENTER, PA
Practice address
1959 Sloan PL
Suite 230
Saint Paul, MN 55117-2086
Phone
(651) 216-6330
NPI assigned
Feb 28, 2013
Last updated
Feb 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2013

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

Authorized official

Name
Dr. William J Davison Jr., DC
Title
President
Phone
(651) 216-6330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

1959 Sloan PL
Suite 230
Saint Paul, MN 55117-2086

Mailing address

1959 Sloan PL
Suite 230
Saint Paul, MN 55117-2086
Phone (651) 216-6330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362009600000",
    "number": "1235479106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 SLOAN PL",
            "address_2": "SUITE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172086",
            "telephone_number": "651-216-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 SLOAN PL",
            "address_2": "SUITE 230",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172086",
            "telephone_number": "651-216-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA CHIROPRACTIC CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-216-6330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 28, 2013; 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.