Organization Active NPI

Kirk M Nelson DC LLC

  • Chiropractor
  • Woodbury, MN
National Provider Identifier
1346483757
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2898 Issued in MN
Legal business name
KIRK M NELSON DC LLC
Practice address
8425 Seasons Pkwy
Ste 104B
Woodbury, MN 55125-4392
Phone
(651) 702-7800
NPI assigned
Apr 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Dr. Kirk M Nelson, D.C.
Title
Onwer/Chiropractor
Phone
(651) 428-5633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2898 MN Primary

Addresses

Primary practice location

8425 Seasons Pkwy
Ste 104B
Woodbury, MN 55125-4392

Mailing address

8425 Seasons Pkwy
Ste 104B
Woodbury, MN 55125-4392
Phone (651) 702-7800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1346483757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8425 SEASONS PKWY",
            "address_2": "STE 104B",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254392",
            "telephone_number": "651-702-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8425 SEASONS PKWY",
            "address_2": "STE 104B",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254392",
            "telephone_number": "651-702-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK M NELSON DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-15",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ONWER/CHIROPRACTOR",
        "authorized_official_telephone_number": "651-428-5633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.