NPIMap

Organization Active NPI

Nord Chiropractic, P.a.

Doing business as Excel Family Chiropractic

  • Chiropractor
  • Maple Grove, MN
National Provider Identifier
1396001467
Registry record updated Apr 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4121 Issued in MN
Legal business name
NORD CHIROPRACTIC, P.A.
Doing business as
Excel Family Chiropractic
Practice address
16334 County Road 30
Maple Grove, MN 55311-1207
Phone
(763) 416-1799
Fax
(763) 416-1949
NPI assigned
Apr 3, 2012
Last updated
Apr 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2013

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

Authorized official

Name
Dr. James K Nord, D.C.NPI 1033172309
Title
Owner
Phone
(763) 416-1799

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
Chiropractor 111N00000X 4121 MN Primary

Addresses

Primary practice location

16334 County Road 30
Maple Grove, MN 55311-1207

Mailing address

16334 County Road 30
Maple Grove, MN 55311-1207
Phone (763) 416-1799

Other identifiers 1

IdentifierTypeStateIssuer
350004464OtherMNMECIARE PTAN

Other names 1

  • Excel Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130509000637 MN Part B Supplier - Clinic/Group Practice 3072750017 Receives reassigned benefits from 2 practitioners
Practice locations: Maple Grove, MN

National Provider Directory

National Provider Directory

Locations

16334 County Road 30
Maple Grove, MN 55311
Phone (763) 416-1799

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366156800000",
    "number": "1396001467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16334 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111207",
            "telephone_number": "763-416-1799",
            "fax_number": "763-416-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16334 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111207",
            "telephone_number": "763-416-1799",
            "fax_number": "763-416-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORD CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-03",
        "last_updated": "2013-04-17",
        "status": "A",
        "authorized_official_last_name": "NORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-416-1799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MECIARE PTAN",
            "identifier": "350004464",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Excel Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.