Organization Active NPI

Corrective Care Chiropractic PC

  • Chiropractor
  • Blaine, MN
National Provider Identifier
1417024050
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4187 Issued in MN
Legal business name
CORRECTIVE CARE CHIROPRACTIC PC
Practice address
922 125TH LN NE
Blaine, MN 55434-3182
Phone
(763) 754-6303
NPI assigned
Nov 29, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Bradley Kuehl, D. C.NPI 1467566901
Title
Owner
Phone
(763) 755-0100

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 4187 MN Primary

Addresses

Primary practice location

922 125TH LN NE
Blaine, MN 55434-3182

Mailing address

922 125TH Lane NW
Blaine, MN 55434-3182

National Provider Directory

National Provider Directory

Locations

922 125th Ln NE
Blaine, MN 55434
Phone (763) 754-6303

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417024050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 125TH LANE NW",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 125TH LN NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554343182",
            "telephone_number": "763-754-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORRECTIVE CARE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KUEHL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-755-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D. C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, 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.