NPIMap

Organization Active NPI

MBH Chiropractic, LLC

  • Chiropractor
  • Saint Paul, MN
National Provider Identifier
1467630293
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4677 Issued in MN
Legal business name
MBH CHIROPRACTIC, LLC
Practice address
1080 Raymond Ave
#18
Saint Paul, MN 55108-1540
Phone
(651) 646-0662
Fax
(651) 646-1372
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Melissa Marie Burnett Brown, D.C.
Title
Chiropractor/Owner
Phone
(612) 839-4124

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4677 MN Primary

Addresses

Primary practice location

1080 Raymond Ave
#18
Saint Paul, MN 55108-1540

Mailing address

1080 Raymond Ave
#18
Saint Paul, MN 55108-1540
Phone (651) 646-0662

Other names 1

  • MBH Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1467630293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 RAYMOND AVE",
            "address_2": "#18",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081540",
            "telephone_number": "651-646-0662",
            "fax_number": "651-646-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 RAYMOND AVE",
            "address_2": "#18",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081540",
            "telephone_number": "651-646-0662",
            "fax_number": "651-646-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MARIE BURNETT",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "612-839-4124",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MBH Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.