Adrian Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6140 Issued in MN

Legal business name

ADRIAN CHIROPRACTIC PLLC

Practice address

212 Maine Ave
Adrian, MN 56110-1056

Phone

(507) 360-6231

NPI assigned

Mar 3, 2016

Last updated

Mar 3, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karissa Reverts, DC

Title

Owner

Phone

(507) 360-6231

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456963200000",
    "number": "1417317413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 MAINE AVE",
            "city": "ADRIAN",
            "state": "MN",
            "postal_code": "561101056",
            "telephone_number": "507-360-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 MAINE AVE",
            "city": "ADRIAN",
            "state": "MN",
            "postal_code": "561101056",
            "telephone_number": "507-360-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-03-03",
        "status": "A",
        "authorized_official_last_name": "REVERTS",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-360-6231",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adrian Public School
• Astrup Drug Inc (Sterling Drug)
• Astrup Drug Inc (Sterling 20)
• Brenda R Bullerman, PA-C
• City of Adrian (Adrian Ambulance)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.