NPIMap

Organization Active NPI

Northern Community Chiropractic

  • Chiropractor
  • Rogers, MN
National Provider Identifier
1386817005
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4941 Issued in MN
Legal business name
NORTHERN COMMUNITY CHIROPRACTIC
Practice address
20965 S Diamond Lake Rd
Ste. 108
Rogers, MN 55374-4820
Phone
(763) 424-5511
Fax
(763) 424-3255
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Seth Shannon Richter, D.C.
Title
Dr/Office Manager
Phone
(763) 424-5511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4941 MN Primary

Addresses

Primary practice location

20965 S Diamond Lake Rd
Ste. 108
Rogers, MN 55374-4820

Mailing address

20965 S Diamond Lake Rd
Ste. 108
Rogers, MN 55374-4820
Phone (763) 424-5511

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1386817005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20965 S DIAMOND LAKE RD",
            "address_2": "STE. 108",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744820",
            "telephone_number": "763-424-5511",
            "fax_number": "763-424-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20965 S DIAMOND LAKE RD",
            "address_2": "STE. 108",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744820",
            "telephone_number": "763-424-5511",
            "fax_number": "763-424-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COMMUNITY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "RICHTER",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "DR/OFFICE MANAGER",
        "authorized_official_telephone_number": "763-424-5511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.