Active NPI
Verdan PA
- Chiropractor
- Blaine, MN
National Provider Identifier
1316127384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4619
- Legal business name
- VERDAN PA
- Practice address
- 13060 Central Ave NE
Suite 100
Blaine, MN 55434-4149 - Phone
- (763) 566-8023
- Fax
- (763) 566-0630
- NPI assigned
- Nov 7, 2007
- 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
- Mrs. Toni Marie Danielson
- Title
- Office MGR.
- Phone
- (763) 566-8023
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4619 | MN | Primary |
Addresses
Primary practice location
13060 Central Ave NE
Suite 100
Blaine, MN 55434-4149
Mailing address
13060 Central Ave NE
Suite 100
Blaine, MN 55434-4149
Phone (763) 566-8023
Other names 1
- Community Chiropractic Center
National Provider Directory
National Provider DirectoryLocations
13060 Central Ave NE
Ste 100
Blaine, MN 55434
Phone (763) 566-8023
6500 Brooklyn Blvd
Ste 101
Brooklyn Ctr, MN 55429
Phone (763) 566-8023
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Brooklyn Center, MN
- NPI 1366584229
-
- Chiropractor
- Brooklyn Center, MN
- NPI 1306900618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435708800000",
"number": "1316127384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13060 CENTRAL AVE NE",
"address_2": "SUITE 100",
"city": "BLAINE",
"state": "MN",
"postal_code": "554344149",
"telephone_number": "763-566-8023",
"fax_number": "763-566-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13060 CENTRAL AVE NE",
"address_2": "SUITE 100",
"city": "BLAINE",
"state": "MN",
"postal_code": "554344149",
"telephone_number": "763-566-8023",
"fax_number": "763-566-0630"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERDAN PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-07",
"last_updated": "2015-07-01",
"status": "A",
"authorized_official_last_name": "DANIELSON",
"authorized_official_first_name": "TONI",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MGR.",
"authorized_official_telephone_number": "763-566-8023",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Community Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blaine, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.