Organization Active NPI

Serk Family Chiropractic, PLLC

  • Chiropractor
  • Chanhassen, MN
National Provider Identifier
1245413145
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4703 Issued in MN
Legal business name
SERK FAMILY CHIROPRACTIC, PLLC
Practice address
7800 Market Boulevard
Chanhassen, MN 55317-4610
Phone
(952) 934-4500
Fax
(952) 934-4501
NPI assigned
Dec 13, 2007
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Dr. Corby Serk, D.C.NPI 1568558278
Title
President
Phone
(952) 934-4500

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 4703 MN Primary

Addresses

Primary practice location

7800 Market Boulevard
Chanhassen, MN 55317-4610

Mailing address

PO Box 516
Chanhassen, MN 55317-0516
Phone (952) 934-4500

National Provider Directory

National Provider Directory

Locations

7935 Stone Creek Dr
Ste 10
Chanhassen, MN 55317
Phone (952) 934-4500

Practitioners & affiliated clinicians

Practitioners 2

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": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1245413145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553170516",
            "telephone_number": "952-934-4500",
            "fax_number": "953-934-4501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 MARKET BOULEVARD",
            "city": "CHANHASSEN",
            "state": "MN",
            "postal_code": "553174610",
            "telephone_number": "952-934-4500",
            "fax_number": "952-934-4501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERK FAMILY CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "SERK",
        "authorized_official_first_name": "CORBY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-934-4500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chanhassen, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.