Scott T. Godbersen Chiropratic PLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4833 Issued in MN

Legal business name

SCOTT T. GODBERSEN CHIROPRATIC PLC

Practice address

71 10TH Ave S
Waite Park, MN 56387-1040

Phone

(320) 259-9099

Fax

(320) 529-9199

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Scott Theodor Godbersen, D.C.

Title

President

Phone

(320) 259-9099

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon Michael Davis, D.C.

  • Chiropractor
  • Waite Park, MN
  • NPI 1750481024
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245322015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 10TH AVE S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871040",
            "telephone_number": "320-259-9099",
            "fax_number": "320-529-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 10TH AVE S",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871040",
            "telephone_number": "320-259-9099",
            "fax_number": "320-529-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT T. GODBERSEN CHIROPRATIC PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GODBERSEN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "THEODOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "320-259-9099",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Schoborg
• Kathleen Bresnahan Scholtes
• Amanda Joy Schultz, LICSW
• Anecia Schweiss
• Jesse Edward Schweitzer
• Caitlin L Scott
• Brittina Ann Seaborg, MASSAGE THERAPIST
• Selfless Senior Care
• Holly Nanette Senn, PHARM.D.
• Sonia Shako I

• Chiropractor in Waite Park, MN
• Providers in Waite Park, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.