NPIMap

Organization Active NPI

Northern Hope Functional Neurology and Chiropractic

  • Neurology Chiropractor
  • Nisswa, MN
National Provider Identifier
1396221966
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
4970 Issued in MN
Legal business name
NORTHERN HOPE FUNCTIONAL NEUROLOGY AND CHIROPRACTIC
Practice address
25503 Main St
Nisswa, MN 56468-5000
Phone
(605) 670-2898
NPI assigned
Jul 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Authorized official

Name
Dr. Tony J Graber, DC
Title
President
Phone
(605) 670-2898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111NN0400X 4970 MN Primary

Addresses

Primary practice location

25503 Main St
Nisswa, MN 56468-5000

Mailing address

PO Box 505
Nisswa, MN 56468-0505
Phone (605) 670-2898

National Provider Directory

National Provider Directory

Locations

25503 Main St
Nisswa, MN 56468
Phone (218) 232-3178

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531699200000",
    "number": "1396221966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 505",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564680505",
            "telephone_number": "605-670-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25503 MAIN ST",
            "city": "NISSWA",
            "state": "MN",
            "postal_code": "564685000",
            "telephone_number": "605-670-2898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN HOPE FUNCTIONAL NEUROLOGY AND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-16",
        "last_updated": "2018-07-16",
        "status": "A",
        "authorized_official_last_name": "GRABER",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-670-2898",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "MN",
            "license": "4970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nisswa, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; 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.