Cliff Road Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4553 Issued in MN

Legal business name

CLIFF ROAD CHIROPRACTIC

Practice address

4555 Erin Dr Ste 210
Eagan, MN 55122-3334

Phone

(651) 452-2225

Fax

(651) 686-6871

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Brandon Mannie, D.C.

Title

Chiropractor

Phone

(651) 452-2225

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Brandon Mannie DC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Brandon Mannie D.C. LLC

  dba DBA Cliff Road Chiropractic

  • Chiropractor
  • Eagan, MN
  • NPI 1629135819
  NPD tax ID

Locations

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295817294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4555 ERIN DR STE 210",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223334",
            "telephone_number": "651-452-2225",
            "fax_number": "651-686-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4555 ERIN DR STE 210",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551223334",
            "telephone_number": "651-452-2225",
            "fax_number": "651-686-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFF ROAD CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANNIE",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-452-2225",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "504POCL",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald C Clark, DC
• James W Clark, MD
• Annette Irene Clarke
• Jaemika Monique Clarke
• Stefanie Clarkin, OTR/L
• Zeb Clift
• Richard Edwin Close, DMIN, MA,LICSW, LMFT
• Trevor Martin Cobb, APRN, FNP-C
• Kristine Mary Cody
• Silas Cooper Coghill

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

• 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.