Park East Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3157 Issued in MN

Legal business name

PARK EAST CHIROPRACTIC, PC

Practice address

4632 85TH Ave N
Brooklyn Park, MN 55443-1957

Phone

(763) 494-4900

Fax

(763) 494-4902

NPI assigned

Jun 27, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Troy Friesen, DCNPI 1366559379

Title

Owner

Phone

(763) 494-4900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 5

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.

• Troy William Friesen, D.C.

  • Chiropractor
  • Brooklyn Park, MN
  • NPI 1366559379
  Medicare reassignment Authorized official
• Jordan Boekhout, D.C.

  • Chiropractor
  • Brooklyn Park, MN
  • NPI 1184169005
  Medicare reassignment
• Quinnisha Regina-Niki Hunter

  • Massage Therapist
  • Brooklyn Park, MN
  • NPI 1316739691
  NPD
• Connor Reimer, CMT

  • Massage Therapist
  • Brooklyn Park, MN
  • NPI 1851256382

  Single Specialty

  NPD
• Jose Anthony Vasquez

  • Massage Therapist
  • Brooklyn Park, MN
  • NPI 1801719133
  NPD (past)

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1285154542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4632 85TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431957",
            "telephone_number": "763-494-4900",
            "fax_number": "763-494-4902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4632 85TH AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431957",
            "telephone_number": "763-494-4900",
            "fax_number": "763-494-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK EAST CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FRIESEN",
        "authorized_official_first_name": "TROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-494-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rebecca Parkin
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• Chiropractor in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.