Greatlakes Injury Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

GREATLAKES INJURY CENTER

Practice address

7217 Excelsior Rd Ste 105
Baxter, MN 56425-8657

Phone

(218) 330-7873

NPI assigned

Nov 30, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Scott Cameron Close, DCNPI 1902020969

Title

President/Chiropractor

Phone

(218) 454-1390

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Scott Cameron Close, D.C.

  • Chiropractor
  • Baxter, MN
  • NPI 1902020969
  NPD (past) Authorized official

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

{
    "created_epoch": "1543536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543968000000",
    "number": "1255801353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7217 EXCELSIOR RD STE 105",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258657",
            "telephone_number": "218-454-1390",
            "fax_number": "218-454-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7217 EXCELSIOR RD STE 105",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258657",
            "telephone_number": "218-330-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATLAKES INJURY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-30",
        "last_updated": "2018-12-05",
        "status": "A",
        "authorized_official_last_name": "CLOSE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "CAMERON",
        "authorized_official_title_or_position": "PRESIDENT/CHIROPRACTOR",
        "authorized_official_telephone_number": "218-454-1390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447644257",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Good Neighbor Home Health Care of Brainerd, Inc.
• Good Neighbor Resources, Inc.
• Grand St Paul CVS LLC
• Brittany Jo Grater
• Great Lakes Injury Center, PLLC
• Greenhaven Family Dental
• Greenhaven Family Dental
• Joanna Griffin
• Meredith Hillary Maria Griffin, PT
• Jenifer Ann Grissom, CNP

• Chiropractor in Baxter, MN
• Providers in Baxter, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2018; 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.