Organization Active NPI

Bridgeview Chiropractic, P.a.

  • Chiropractor
  • Stillwater, MN
National Provider Identifier
1447332580
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4310 Issued in MN
Legal business name
BRIDGEVIEW CHIROPRACTIC, P.A.
Practice address
13481 60TH St N Ste 300
Stillwater, MN 55082-1089
Phone
(651) 430-3229
NPI assigned
Oct 19, 2006
Last updated
Oct 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

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

Authorized official

Name
Dr. Ross Kinney Hanson, D.C.NPI 1487750469
Title
President
Phone
(651) 430-3229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4310 MN Primary

Addresses

Primary practice location

13481 60TH St N Ste 300
Stillwater, MN 55082-1089

Mailing address

13481 60TH St N Ste 300
Stillwater, MN 55082-1089
Phone (651) 430-3229

Other practice location 1

1970 Northwestern Ave S
Suite 400
Stillwater, MN 55082-6567
Phone (651) 430-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061026000030 MN Part B Supplier - Clinic/Group Practice 0345247862 Receives reassigned benefits from 1 practitioner
Practice locations: Stillwater, MN

National Provider Directory

National Provider Directory

Locations

124 2nd St S
Stillwater, MN 55082
Phone (651) 430-3229

13481 60th St N
Ste 300
Stillwater, MN 55082
Phone (651) 430-3229

1970 Northwestern Ave S
Ste 400
Stillwater, MN 55082
Phone (651) 430-3229

Practitioners & affiliated clinicians

Practitioners 1

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": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1447332580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13481 60TH ST N STE 300",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821089",
            "telephone_number": "651-430-3229",
            "fax_number": "651-430-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13481 60TH ST N STE 300",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550821089",
            "telephone_number": "651-430-3229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1970 Northwestern Ave S",
            "address_2": "Suite 400",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550826567",
            "country_code": "US",
            "telephone_number": "651-430-3229",
            "fax_number": "651-430-3265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRIDGEVIEW CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "KINNEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-430-3229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.