Organization Active NPI

J & J Chiropractic, PA

Doing business as ProHealth Chiropractic Center

  • Chiropractor
  • Brooklyn Park, MN
National Provider Identifier
1356523849
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4601 Issued in MN
Legal business name
J & J CHIROPRACTIC, PA
Doing business as
ProHealth Chiropractic Center
Practice address
8058 Brooklyn Blvd
Brooklyn Park, MN 55445-2407
Phone
(763) 425-1855
NPI assigned
Nov 27, 2007
Last updated
Nov 27, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Joseph Seong Lee, D.C.NPI 1801938147
Title
Owner
Phone
(763) 425-1855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4601 MN Primary

Addresses

Primary practice location

8058 Brooklyn Blvd
Brooklyn Park, MN 55445-2407

Mailing address

8058 Brooklyn Blvd
Brooklyn Park, MN 55445-2407

Other names 1

  • ProHealth Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

8058 Brooklyn Blvd
Brooklyn Park, MN 55445
Phone (763) 425-1855

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1356523849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8058 BROOKLYN BLVD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8058 BROOKLYN BLVD",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452407",
            "telephone_number": "763-425-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J & J CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SEONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-425-1855",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProHealth Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.