Organization Active NPI

Parkway Family Chiropractic

  • Clinic/Center
  • Burnsville, MN
National Provider Identifier
1265669576
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
4325 Issued in MN
Legal business name
PARKWAY FAMILY CHIROPRACTIC
Practice address
201 W Burnsville Pkwy
Suite 158
Burnsville, MN 55337-2527
Phone
(952) 224-9466
NPI assigned
Jun 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Lisa Boeser
Title
President/Owner
Phone
(952) 224-9466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 4325 MN Primary

Addresses

Primary practice location

201 W Burnsville Pkwy
Suite 158
Burnsville, MN 55337-2527

Mailing address

201 W Burnsville Pkwy
Suite 158
Burnsville, MN 55337-2527
Phone (952) 224-9466

Other identifiers 1

IdentifierTypeStateIssuer
1447378146OtherMNINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

151 W Burnsville Pkwy
Ste 238
Burnsville, MN 55337
Phone (952) 224-9466

201 W Burnsville Pkwy
Ste 158
Burnsville, MN 55337
Phone (952) 224-9466

NPI Registry JSON

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1265669576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W BURNSVILLE PKWY",
            "address_2": "SUITE 158",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372527",
            "telephone_number": "952-224-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W BURNSVILLE PKWY",
            "address_2": "SUITE 158",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553372527",
            "telephone_number": "952-224-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKWAY FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "BOESER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "952-224-9466"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "4325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1447378146",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.