Active Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3850 Issued in MN

Legal business name

ACTIVE FAMILY CHIROPRACTIC

Practice address

3390 Annapolis LN N Ste C
Plymouth, MN 55447-5379

Phone

(763) 553-0387

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lori Kristine Goodsell, D.C.NPI 1083644470

Title

President

Phone

(763) 553-0387

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Lori Kristine Goodsell, D.C.

  • Chiropractor
  • Plymouth, MN
  • NPI 1083644470
  NPD (past) Authorized official

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1407047582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 ANNAPOLIS LN N STE C",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475379",
            "telephone_number": "763-553-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 ANNAPOLIS LN N STE C",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475379",
            "telephone_number": "763-553-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "GOODSELL",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-553-0387",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.