NPIMap

Organization Active NPI

Southwest Chiropractic and Rehabilitation Services, PA

  • Neurology Chiropractor
  • Rochester, MN
National Provider Identifier
1366729790
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
3598 Issued in MN
Legal business name
SOUTHWEST CHIROPRACTIC AND REHABILITATION SERVICES, PA
Practice address
2215 2ND St SW
Suite 140
Rochester, MN 55902-4147
Phone
(507) 292-7784
Fax
(507) 226-8079
NPI assigned
Nov 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Dr. Robert Gustafson, DCNPI 1205047800
Title
Owner
Phone
(507) 292-7784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 3598 MN Primary

Addresses

Primary practice location

2215 2ND St SW
Suite 140
Rochester, MN 55902-4147

Mailing address

2215 2ND St SW
Suite 140
Rochester, MN 55902-4147
Phone (507) 292-7784

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1366729790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 2ND ST SW",
            "address_2": "SUITE 140",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024147",
            "telephone_number": "507-292-7784",
            "fax_number": "507-226-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 2ND ST SW",
            "address_2": "SUITE 140",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024147",
            "telephone_number": "507-292-7784",
            "fax_number": "507-226-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST CHIROPRACTIC AND REHABILITATION SERVICES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-292-7784",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "MN",
            "license": "3598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.