Organization Active NPI

Healthquest Sports Injury and Chiropractic Center

  • Health Maintenance Organization
  • Saint Paul, MN
National Provider Identifier
1346567609
Registry record updated Apr 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
5324 Issued in MN
Legal business name
HEALTHQUEST SPORTS INJURY AND CHIROPRACTIC CENTER
Practice address
1053 Grand Ave
114
Saint Paul, MN 55105-3022
Phone
(656) 292-9247
Fax
(651) 292-9257
NPI assigned
Apr 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2010

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

Authorized official

Name
Bradley Vernon Northrup, D.C.
Title
Chiropractor/Owner
Phone
(651) 292-9247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 5324 MN Primary

Addresses

Primary practice location

1053 Grand Ave
114
Saint Paul, MN 55105-3022

Mailing address

1053 Grand Ave
114
Saint Paul, MN 55105-3022
Phone (656) 292-9247

National Provider Directory

National Provider Directory

Locations

1053 Grand Ave
Ste 114
Saint Paul, MN 55105
Phone (651) 282-9247

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272326400000",
    "number": "1346567609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 GRAND AVE",
            "address_2": "114",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053022",
            "telephone_number": "656-292-9247",
            "fax_number": "651-292-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 GRAND AVE",
            "address_2": "114",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551053022",
            "telephone_number": "656-292-9247",
            "fax_number": "651-292-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHQUEST SPORTS INJURY AND CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-27",
        "last_updated": "2010-04-27",
        "status": "A",
        "authorized_official_last_name": "NORTHRUP",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "651-292-9247",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": "5324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2010; 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.