Organization Active NPI

Fernbrook Chirpractic, LTD.

  • Chiropractor
  • Plymouth, MN
National Provider Identifier
1407985872
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3304 Issued in MN
Legal business name
FERNBROOK CHIRPRACTIC, LTD.
Practice address
3169 Fernbrook LN N
Plymouth, MN 55447-5357
Phone
(763) 201-1284
Fax
(763) 201-1285
NPI assigned
Mar 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dean Clarence Saunders, D.C.
Title
Owner
Phone
(763) 201-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3304 MN Primary

Addresses

Primary practice location

3169 Fernbrook LN N
Plymouth, MN 55447-5357

Mailing address

3169 Fernbrook LN N
Plymouth, MN 55447-5357
Phone (763) 201-1284

National Provider Directory

National Provider Directory

Locations

355 E Broadway St
Monticello, MN 55362
Phone (763) 295-0303

3169 Fernbrook Ln N
Plymouth, MN 55447
Phone (763) 201-1284

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407985872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 FERNBROOK LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475357",
            "telephone_number": "763-201-1284",
            "fax_number": "763-201-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 FERNBROOK LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475357",
            "telephone_number": "763-201-1284",
            "fax_number": "763-201-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERNBROOK CHIRPRACTIC, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAUNDERS",
        "authorized_official_first_name": "DEAN",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-201-1284",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.