Relevium Chiropractic Care PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RELEVIUM CHIROPRACTIC CARE PA

Practice address

9555 Upland LN N
Maple Grove, MN 55369-4485

Phone

(612) 325-0308

NPI assigned

Aug 19, 2020

Organization subpart

No

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

Authorized official

Name

Jacob Jared Sundberg, DC

Title

Ceo

Phone

(763) 330-1400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1235741364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 ORCHID LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111547",
            "telephone_number": "612-325-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9555 UPLAND LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694485",
            "telephone_number": "612-325-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELEVIUM CHIROPRACTIC CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "SUNDBERG",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JARED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-330-1400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lyn Reimann, LICSW
• Shelby Taylor Reimers, CNM, APRN
• Nicole Reinarz Stover, PHARMD, MPH
• James Vincent Reineke, PHARM D
• Wendy Reinhardt, MS, CCC-SLP
• Anne M Remington, MSN, APRN, CNP
• Laila Melodie Resemius
• John Resman, PHARM.D.
• Resonancebridge Psychiatry & Wellness LLC
• Restore Chiropractic LLC

• Chiropractor in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.