Active NPI
North St Paul Chiropractic Office, P.a.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1356421317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1160MNDC
- Legal business name
- NORTH ST PAUL CHIROPRACTIC OFFICE, P.A.
- Practice address
- 2516 7TH Ave E
Saint Paul, MN 55109-3003 - Phone
- (651) 770-3805
- Fax
- (651) 747-8737
- NPI assigned
- Oct 16, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald C Peterson, D.C.
- Title
- Chiropractior
- Phone
- (651) 770-3805
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1160MNDC | MN | Primary |
Addresses
Primary practice location
2516 7TH Ave E
Saint Paul, MN 55109-3003
Mailing address
2516 7TH Ave E
Saint Paul, MN 55109-3003
Phone (651) 770-3805
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2516 7th Ave E
Saint Paul, MN 55109
Phone (651) 770-3805
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- North St Paul, MN
- NPI 1609220169
-
- Chiropractor
- Saint Paul, MN
- NPI 1477642031
-
- Chiropractor
- Saint Paul, MN
- NPI 1740360718
-
- Chiropractor
- Minneapolis, MN
- NPI 1780617670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356421317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 7TH AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551093003",
"telephone_number": "651-770-3805",
"fax_number": "651-747-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2516 7TH AVE E",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551093003",
"telephone_number": "651-770-3805",
"fax_number": "651-747-8737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH ST PAUL CHIROPRACTIC OFFICE, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIROPRACTIOR",
"authorized_official_telephone_number": "651-770-3805",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "1160MNDC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
- Kristoffer Benjamin Norman, CRNA
- Liisa M Norman, CRNA
- North Band Trans
- North Home Health Care
- North Point Health &Wellness Center
- North Star Counseling & Mediation Services PSC
- North Star Health Alliance, LLC
- North Suburban Optical (Optical Studios)
- Northeast Dental, P.a.
- Northern Medical Supply Co.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.