NPIMap

Organization Active NPI

Chiroport

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1386010916
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6112 Issued in MN
Legal business name
CHIROPORT
Practice address
1440 Arcade St Ste C
Saint Paul, MN 55106-1830
Phone
(651) 900-3562
NPI assigned
Aug 18, 2015
Last updated
Sep 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2015

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

Authorized official

Name
Dr. Jackson Lee, D.C.NPI 1689050684
Title
Doctor of Chiropractic
Phone
(651) 900-3562

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6112 MN Primary

Addresses

Primary practice location

1440 Arcade St Ste C
Saint Paul, MN 55106-1830

Mailing address

1440 Arcade St Ste C
Saint Paul, MN 55106-1830
Phone (651) 900-3562

National Provider Directory

National Provider Directory

Locations

1440 Arcade St
Ste C
Saint Paul, MN 55106
Phone (651) 900-3562

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442880000000",
    "number": "1386010916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 ARCADE ST STE C",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061830",
            "telephone_number": "651-900-3562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 ARCADE ST STE C",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551061830",
            "telephone_number": "651-900-3562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-09-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "651-900-3562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.