Twin Cities Chiropractic and Rehabilitation

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3639 Issued in MN

Legal business name

TWIN CITIES CHIROPRACTIC AND REHABILITATION

Practice address

506 Lexington Pkwy N
Saint Paul, MN 55104-4644

Phone

(651) 224-1921

Fax

(651) 224-1936

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Jason Macdonald, D.C.

Title

Co-Owner

Phone

(651) 224-1921

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Twin Cities Spine Care Former legal business name

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366501736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 LEXINGTON PKWY N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044644",
            "telephone_number": "651-224-1921",
            "fax_number": "651-224-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 LEXINGTON PKWY N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044644",
            "telephone_number": "651-224-1921",
            "fax_number": "651-224-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES CHIROPRACTIC AND REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "651-224-1921",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0058858",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Twin Cities Spine Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Twin Cities Endodontic Specialists, P.a.
• Twin Cities Eye Specialists, LLC
• Twin Cities German Immersion School

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.