Organization Active NPI

First Choice Chiropractic & Rehab Center LLC

  • Chiropractor
  • Minneapolis, MN
National Provider Identifier
1295368850
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FIRST CHOICE CHIROPRACTIC & REHAB CENTER LLC
Practice address
2929 4TH Ave S Ste 103
Minneapolis, MN 55408-2460
Phone
(612) 720-6736
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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

Authorized official

Name
Dr. John David Goolsby, DC
Title
Chiropractor/Owner
Phone
(612) 720-6736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2929 4TH Ave S Ste 103
Minneapolis, MN 55408-2460

Mailing address

2929 4TH Ave S Ste 103
Minneapolis, MN 55408-2460
Phone (612) 720-6736

National Provider Directory

National Provider Directory

Locations

2929 4th Ave S
Ste 103
Minneapolis, MN 55408
Phone (612) 720-6736

NPI Registry JSON

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

{
    "created_epoch": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582243200000",
    "number": "1295368850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 4TH AVE S STE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082460",
            "telephone_number": "612-720-6736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 4TH AVE S STE 103",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082460",
            "telephone_number": "612-720-6736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CHOICE CHIROPRACTIC & REHAB CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A",
        "authorized_official_last_name": "GOOLSBY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "612-720-6736",
        "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.