Prairie Village Chiropractic Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MN1230 Issued in MN

Legal business name

PRAIRIE VILLAGE CHIROPRACTIC CLINIC

Practice address

7810 Terrey Pine CT
Eden Prairie, MN 55347-1186

Phone

(952) 937-1226

Fax

(952) 906-1811

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Steven R Beck

Title

Owner

Phone

(952) 937-1226

Specialties & licenses 1

Addresses

Other names 1

• ChiroCenter-Eden Prairie Doing business as

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190764800000",
    "number": "1437340205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 TERREY PINE CT",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471186",
            "telephone_number": "952-937-1226",
            "fax_number": "952-906-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 TERREY PINE CT",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553471186",
            "telephone_number": "952-937-1226",
            "fax_number": "952-906-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE VILLAGE CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-09-26",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-937-1226"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "MN1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ChiroCenter-Eden Prairie",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prairie View Chiropractic Clinic, P.a.
• Prairiestone Pharmacy LLC
• Premier Health Services
• Paula A Prescott
• Prescription Drug Advocates LLC
• Pride Institute

• Chiropractor in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2007; 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.