B P Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4842 Issued in MN

Legal business name

B P CHIROPRACTIC CLINIC

Practice address

3330 Brookdale Dr N
Brooklyn Park, MN 55443-2863

Phone

(763) 432-5073

NPI assigned

Nov 26, 2014

Organization subpart

No

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

Authorized official

Name

Tony P. Wangerin, D.C.

Title

Chief Manager/Secretary

Phone

(763) 432-5073

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1416960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1326445826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 BROOKDALE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432863",
            "telephone_number": "763-432-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 BROOKDALE DR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432863",
            "telephone_number": "763-432-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B P CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-26",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "WANGERIN",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF MANAGER/SECRETARY",
        "authorized_official_telephone_number": "763-432-5073",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Nov 26, 2014; 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.