John Scott Harrison, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC4112 Issued in MN

Practice address

4010 W 65TH St Ste 120
Edina, MN 55435-1724

Phone

(952) 922-8462

Fax

(952) 922-8462

NPI assigned

Sep 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1366547960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 EDINA INDUSTRIAL BLVD",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393008",
            "telephone_number": "612-267-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 W 65TH ST STE 120",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351724",
            "telephone_number": "952-922-8462",
            "fax_number": "952-922-8462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC4112",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "MN",
            "license": "DC4112",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "50D98IN",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN PROVIDER NUMBER",
            "identifier": "50D99HA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maggie Mae Harris, MA
• Rachel Amanda Harris, MD
• Whitney Harris, OTRL
• Alan Richard Harrison Jr., PA
• Alexis Marie Harrison, RD
• Melanie Elizabeth Harrison, LICSW
• Deanna E Harter, OD
• Saiyid J Hasan, M.D.
• Morgan Elliott Hasegawa, MD
• Raisa Abdullahi Hashi

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.