Active NPI
Linda J. Dobberstein, DC
- Chiropractor
- Bloomington, MN
National Provider Identifier
1366529554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3958
- Practice address
- 8609 Lyndale Ave S
Suite 213B
Bloomington, MN 55420-2754 - Phone
- (612) 616-5452
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3958 | MN | Primary |
| Nutrition Chiropractor | 111NN1001X | 3958 | MN |
Addresses
Primary practice location
8609 Lyndale Ave S
Suite 213B
Bloomington, MN 55420-2754
Mailing address
9940 Penn Ave S Apt 5
Bloomington, MN 55431-2928
Phone (612) 616-5452
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3958 | MN | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448928000000",
"number": "1366529554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9940 PENN AVE S APT 5",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554312928",
"telephone_number": "612-616-5452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8609 LYNDALE AVE S",
"address_2": "SUITE 213B",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554202754",
"telephone_number": "612-616-5452"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBBERSTEIN",
"first_name": "LINDA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2015-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "3958",
"primary": true
},
{
"code": "111NN1001X",
"taxonomy_group": "",
"desc": "Chiropractor, Nutrition",
"state": "MN",
"license": "3958",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.