Bridge Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BRIDGE CHIROPRACTIC

Practice address

1755 17TH Ave E
Shakopee, MN 55379-3372

Phone

(952) 445-5250

Fax

(952) 445-5350

NPI assigned

Mar 27, 2008

Last updated

Nov 30, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jodi Ann Church, D.C.

Title

Doctor of Chiropractic

Phone

(952) 445-5250

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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.

• Jennifer Ashly Dorn, DC

  • Chiropractor
  • Shakopee, MN
  • NPI 1033730890
  Medicare reassignment Care Compare group NPD
• Ann Elizabeth Williams, DC

  • Chiropractor
  • Shakopee, MN
  • NPI 1316513245
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1356513592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 17TH AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793372",
            "telephone_number": "952-445-5250",
            "fax_number": "952-445-5350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 17TH AVE E",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793372",
            "telephone_number": "952-445-5250",
            "fax_number": "952-445-5350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "952-445-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harley Jean Brake Walker
• Jamie Brandell
• Hilary Breedon, NP
• Teresa L Brenke
• Jonathan Pierce Brennan, DDS
• Bridge Chiropractic & Wellness
• Bridge Languages LLC
• Anna Lea Bromeland, OTR/L
• Sasha Kohana-Yamada Broniola
• Brooks Chiropractic, PLLC

• Chiropractor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; 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.

Verify at the official NPI Registry.