Valentini Chiropractic Clinic LTD PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2548 Issued in MN

Legal business name

VALENTINI CHIROPRACTIC CLINIC LTD PA

Practice address

4455 Highway 169 N
#200
Plymouth, MN 55442-2897

Phone

(763) 557-9032

Fax

(763) 557-5838

NPI assigned

Aug 22, 2005

Organization subpart

No

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

Authorized official

Name

John Kenneth Valentini, DCNPI 1760652036

Title

Doctor

Phone

(763) 557-9032

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Tax ID family

Valentini Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valentini Chiropractic

  • Chiropractor
  • Plymouth, MN
  • NPI 1144421835
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Kenneth Valentini, D.C.

  • Chiropractor
  • Plymouth, MN
  • NPI 1760652036
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1477545895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 HIGHWAY 169 N",
            "address_2": "#200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422897",
            "telephone_number": "763-557-9032",
            "fax_number": "763-557-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 HIGHWAY 169 N",
            "address_2": "#200",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554422897",
            "telephone_number": "763-557-9032",
            "fax_number": "763-557-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENTINI CHIROPRACTIC CLINIC LTD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-22",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "VALENTINI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "763-557-9032",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "60627FO",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "492728100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya C Ussery, OTA
• Nick Garret Vail
• Emey Helen Vaillancourt, RN
• Atanza Valentine-Palmer, MSW
• Valentini Chiropractic
• John Kenneth Valentini, D.C.
• Vicente Valeriano, L. AC. ,D.O.M
• Ryan David Valk, MD
• Daniel Mark Van Handel, M.D.
• Sarah Elizabeth Vance, APRN CRNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.