NPIMap

Organization Active NPI

Isanti Chiropractic Clinic, PA

  • Chiropractor
  • Isanti, MN
National Provider Identifier
1265469258
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4273 Issued in MN
Legal business name
ISANTI CHIROPRACTIC CLINIC, PA
Practice address
118 W. Main Street
Isanti, MN 55040-0051
Phone
(763) 444-9737
Fax
(763) 444-6540
NPI assigned
Jun 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Vincent Peaslee, D.C.NPI 1063440261
Title
First Director
Phone
(763) 444-9737

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 4273 MN Primary

Addresses

Primary practice location

118 W. Main Street
Isanti, MN 55040-0051

Mailing address

118 W. Main Street
Isanti, MN 55040-0051
Phone (763) 444-9737

National Provider Directory

National Provider Directory

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": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1265469258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W. MAIN STREET",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550400051",
            "telephone_number": "763-444-9737",
            "fax_number": "763-444-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W. MAIN STREET",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550400051",
            "telephone_number": "763-444-9737",
            "fax_number": "763-444-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISANTI CHIROPRACTIC CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PEASLEE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "FIRST DIRECTOR",
        "authorized_official_telephone_number": "763-444-9737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Isanti, MN

Sources for this page

  • 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.