NPIMap

Organization Active NPI

Delano Chiropractic Center, P.a.

  • Chiropractor
  • Delano, MN
National Provider Identifier
1376793356
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 4061 Issued in MN
Legal business name
DELANO CHIROPRACTIC CENTER, P.A.
Practice address
120 Bridge Ave W
Delano, MN 55328-9384
Phone
(763) 972-2215
Fax
(763) 972-9723
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Dr. Jeremiah Hunter Staples, D.C.
Title
President
Phone
(763) 972-2215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC 4061 MN Primary

Addresses

Primary practice location

120 Bridge Ave W
Delano, MN 55328-9384

Mailing address

PO Box 646
Delano, MN 55328-0646
Phone (763) 972-2215

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1376793356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 646",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553280646",
            "telephone_number": "763-972-2215",
            "fax_number": "763-972-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BRIDGE AVE W",
            "city": "DELANO",
            "state": "MN",
            "postal_code": "553289384",
            "telephone_number": "763-972-2215",
            "fax_number": "763-972-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELANO CHIROPRACTIC CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "STAPLES",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-972-2215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "DC 4061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delano, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.