Denis Boerjan, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1344 Issued in MN

Legal business name

DENIS BOERJAN, LLC

Practice address

417 W 4TH St
Saint Ansgar, IA 50472-1316

Phone

(641) 713-2168

Fax

(641) 713-3168

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Denis Boerjan, D.C.NPI 1699768655

Title

Chief Member

Phone

(507) 424-1200

Specialties & licenses 1

Addresses

Other names 1

• Advance Chiropractic Clinic Doing business as

Practitioners 1

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

• Denis Boerjan, D.C.

  • Chiropractor
  • Saint Ansgar, IA
  • NPI 1699768655
  NPD Authorized official

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386682383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 37TH ST NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014228",
            "telephone_number": "507-424-1200",
            "fax_number": "507-288-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 W 4TH ST",
            "city": "SAINT ANSGAR",
            "state": "IA",
            "postal_code": "504721316",
            "telephone_number": "641-713-2168",
            "fax_number": "641-713-3168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENIS BOERJAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOERJAN",
        "authorized_official_first_name": "DENIS",
        "authorized_official_title_or_position": "CHIEF MEMBER",
        "authorized_official_telephone_number": "507-424-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denis Boerjan, D.C.
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• Denis Boerjan, LLC
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• Hannah Laura Gerk
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• John Dayton Lafferty, D.D.S.
• Chris Jerrod Meyer, RPH PHARMD

• Chiropractor in Saint Ansgar, IA
• Providers in Saint Ansgar, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.