Organization Active NPI

Minnesota Natural Medicine Center, PA

  • Chiropractor
  • Champlin, MN
National Provider Identifier
1457761801
Registry record updated May 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5920 Issued in MN
Legal business name
MINNESOTA NATURAL MEDICINE CENTER, PA
Practice address
8900 109TH Ave N
Suite #700
Champlin, MN 55316-3164
Phone
(763) 807-6817
NPI assigned
May 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2014

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

Authorized official

Name
Dr. Elizabeth C Buyse, D.C.
Title
Owner/Clinic Director
Phone
(763) 807-6817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5920 MN Primary

Addresses

Primary practice location

8900 109TH Ave N
Suite #700
Champlin, MN 55316-3164

Mailing address

8900 109TH Ave N
Suite #700
Champlin, MN 55316-3164
Phone (763) 807-6817

National Provider Directory

National Provider Directory

Locations

8900 109th Ave N
Champlin, MN 55316
Phone (763) 807-6817

NPI Registry JSON

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

{
    "created_epoch": "1399334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399334400000",
    "number": "1457761801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8900 109TH AVE N",
            "address_2": "SUITE #700",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163164",
            "telephone_number": "763-807-6817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 109TH AVE N",
            "address_2": "SUITE #700",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553163164",
            "telephone_number": "763-807-6817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA NATURAL MEDICINE CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-06",
        "last_updated": "2014-05-06",
        "status": "A",
        "authorized_official_last_name": "BUYSE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/CLINIC DIRECTOR",
        "authorized_official_telephone_number": "763-807-6817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champlin, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; 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.