Gregory Rueben Nelson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3743 Issued in MN

Practice address

26065 Main St
Zimmerman, MN 55398-9347

Phone

(763) 856-2600

Fax

(763) 856-0259

NPI assigned

May 27, 2008

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 27, 2008.

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1346408341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26065 MAIN ST",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553989347",
            "telephone_number": "763-856-2600",
            "fax_number": "763-856-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26065 MAIN ST",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553989347",
            "telephone_number": "763-856-2600",
            "fax_number": "763-856-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "GREGORY",
        "middle_name": "RUEBEN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle McGrane
• Molly Ann McLain, RN
• Michael McNulty, RPH
• Taavan Li Mielke, PT, DPT
• Jennifer Andresen Narr, DDS
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• Alicia Marie Olson

• All providers in Zimmerman, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.