Landry Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3805 Issued in MN

Legal business name

LANDRY CHIROPRACTIC INC.

Practice address

19449 Evans St NW
Suite a
Elk River, MN 55330-1074

Phone

(612) 702-9012

Fax

(736) 633-0039

NPI assigned

Jul 31, 2007

Last updated

Jul 31, 2007By 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. Peter Albert Landry, D.C.NPI 1669430062

Title

Chiropractor

Phone

(612) 702-9012

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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.

• Peter Albert Landry, D.C.

  • Chiropractor
  • Elk River, MN
  • NPI 1669430062
  NPD (past) Authorized official

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1467642843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19449 EVANS ST NW",
            "address_2": "SUITE A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301074",
            "telephone_number": "612-702-9012",
            "fax_number": "736-633-0039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19449 EVANS ST NW",
            "address_2": "SUITE A",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301074",
            "telephone_number": "612-702-9012",
            "fax_number": "736-633-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDRY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "LANDRY",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "612-702-9012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "45D48LA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA ID.",
            "identifier": "4487073",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS ID.",
            "identifier": "94631",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denae R Kuenzel, PSYD, LP
• Melissa Marie Lachowitzer, FNP
• Charles William Lais, MD
• Brittany Marie Lamack
• Tanya Anne Lambert, MS, LPCC
• Peter Albert Landry, D.C.
• Sarah Landsem, MOTR/L
• Karri Moureen Lane, LCMT
• Martin Lee Langenfeld, PA-C
• Corina Nicole Larkin

• Chiropractor in Elk River, MN
• Providers in Elk River, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.