NPIMap

Organization Active NPI

Riverview Chiropractic Clinic PA

  • Chiropractor
  • Moorhead, MN
National Provider Identifier
1427248020
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3979 Issued in MN
Legal business name
RIVERVIEW CHIROPRACTIC CLINIC PA
Practice address
3505 8TH St S Ste 6
Moorhead, MN 56560-5108
Phone
(218) 236-1516
Fax
(218) 331-0077
NPI assigned
Jul 30, 2007
Last updated
Jan 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Jamison David Englund, D.C.
Title
President
Phone
(218) 236-1516

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3979 MN Primary

Addresses

Primary practice location

3505 8TH St S Ste 6
Moorhead, MN 56560-5108

Mailing address

3505 8TH St S Ste 6
Moorhead, MN 56560-5108
Phone (218) 236-1516

Other identifiers 1

IdentifierTypeStateIssuer
622620500MedicaidMN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1427248020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 8TH ST S STE 6",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605108",
            "telephone_number": "218-236-1516",
            "fax_number": "218-331-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 8TH ST S STE 6",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605108",
            "telephone_number": "218-236-1516",
            "fax_number": "218-331-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERVIEW CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "ENGLUND",
        "authorized_official_first_name": "JAMISON",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "218-236-1516",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3979",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "622620500",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; 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.