Active NPI
Mounds View Chiropractic, PA
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1306053673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4950
- Legal business name
- MOUNDS VIEW CHIROPRACTIC, PA
- Practice address
- 5372 Edgewood Dr
Saint Paul, MN 55112-1402 - Phone
- (763) 398-7770
- Fax
- (763) 398-7771
- NPI assigned
- May 17, 2007
- Last updated
- Jan 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joshua Ryan Huffman, D.C.
- Title
- President
- Phone
- (763) 398-7770
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4950 | MN | Primary |
Addresses
Primary practice location
5372 Edgewood Dr
Saint Paul, MN 55112-1402
Mailing address
5372 Edgewood Dr
Saint Paul, MN 55112-1402
Phone (763) 398-7770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5372 Edgewood Dr
Saint Paul, MN 55112
Phone (763) 398-7770
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Chiropractor
- Saint Paul, MN
- NPI 1235341561
-
- Chiropractor
- Mounds View, MN
- NPI 1578304390
-
- Chiropractor
- Mounds View, MN
- NPI 1750387551
-
- Chiropractor
- Saint Paul, MN
- NPI 1205257573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737590400000",
"number": "1306053673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5372 EDGEWOOD DR",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551121402",
"telephone_number": "763-398-7770",
"fax_number": "763-398-7771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5372 EDGEWOOD DR",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551121402",
"telephone_number": "763-398-7770",
"fax_number": "763-398-7771"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNDS VIEW CHIROPRACTIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2025-01-23",
"certification_date": "2025-01-23",
"status": "A",
"authorized_official_last_name": "HUFFMAN",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "763-398-7770",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "4950",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.