Organization Active NPI

Summit Chiropractic and Wellness Center LLC

  • Durable Medical Equipment & Medical Supplies
  • Albertville, MN
National Provider Identifier
1386947869
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
SUMMIT CHIROPRACTIC AND WELLNESS CENTER LLC
Practice address
10904 57TH St NE
Suite 107
Albertville, MN 55301-4658
Phone
(763) 515-6177
Fax
(763) 515-6199
NPI assigned
Dec 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2010

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

Authorized official

Name
Dr. Giles Stifter, D.C., C.C.W.P.
Title
President
Phone
(763) 515-6177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

10904 57TH St NE
Suite 107
Albertville, MN 55301-4658

Mailing address

10904 57TH St NE
Suite 107
Albertville, MN 55301-4658
Phone (763) 515-6177

National Provider Directory

National Provider Directory

Locations

10904 57th St NE
Ste 107
Albertville, MN 55301
Phone (763) 515-6177

NPI Registry JSON

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1386947869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10904 57TH ST NE",
            "address_2": "SUITE 107",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014658",
            "telephone_number": "763-515-6177",
            "fax_number": "763-515-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10904 57TH ST NE",
            "address_2": "SUITE 107",
            "city": "ALBERTVILLE",
            "state": "MN",
            "postal_code": "553014658",
            "telephone_number": "763-515-6177",
            "fax_number": "763-515-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "STIFTER",
        "authorized_official_first_name": "GILES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-515-6177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., C.C.W.P."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; 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.