Core Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3773 Issued in MN

Legal business name

CORE CHIROPRACTIC, LLC

Practice address

1155 Anchor CT
Harris, MN 55032-2900

Phone

(763) 744-6605

NPI assigned

Mar 30, 2011

Last updated

Jul 18, 2011By 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

Dr. Trevor Ray Scanlon, DCNPI 1740473743

Title

Owner

Phone

(763) 744-6605

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Trevor Ray Scanlon, DC

  • Chiropractor
  • Harris, MN
  • NPI 1740473743
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1301443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1447549498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 ANCHOR CT",
            "city": "HARRIS",
            "state": "MN",
            "postal_code": "550322900",
            "telephone_number": "763-744-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 ANCHOR CT",
            "city": "HARRIS",
            "state": "MN",
            "postal_code": "550322900",
            "telephone_number": "763-744-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-30",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "SCANLON",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-744-6605",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Freedlund, MS
• Ginger Care Home, Inc.
• Natalie Hokanson, OTR/L
• Teresa Leah Luginbill, CMT
• Lisa Mix, RN CCM

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.