Organization Active NPI

Chiropractic Plus P.a.

  • Chiropractor
  • Waite Park, MN
National Provider Identifier
1336417807
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC PLUS P.A.
Practice address
217 3Rd St NE
Waite Park, MN 56387-1271
Phone
(888) 995-9669
NPI assigned
Dec 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Authorized official

Name
Paul Undersander, DC
Title
Owner
Phone
(888) 995-9669

Specialties & licenses 1

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

Addresses

Primary practice location

217 3Rd St NE
Waite Park, MN 56387-1271

Mailing address

217 3Rd St NE
Waite Park, MN 56387-1271

National Provider Directory

National Provider Directory

Locations

217 3rd St NE
Waite Park, MN 56387
Phone (320) 241-4292

NPI Registry JSON

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

{
    "created_epoch": "1323648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1336417807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 3RD ST NE",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 3RD ST NE",
            "city": "WAITE PARK",
            "state": "MN",
            "postal_code": "563871271",
            "telephone_number": "888-995-9669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PLUS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-12",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "UNDERSANDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-995-9669",
        "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 Waite Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.