NPIMap

Organization Active NPI

Abc Family Chiropractic, P.a.

  • Chiropractor
  • Victoria, MN
National Provider Identifier
1477764587
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4549 Issued in MN
Legal business name
ABC FAMILY CHIROPRACTIC, P.A.
Practice address
1405 78TH St
Suite 100
Victoria, MN 55386-9723
Phone
(952) 443-3710
Fax
(952) 443-3761
NPI assigned
May 24, 2007
Last updated
Jun 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Dr. Rebecca A Pauly, B.S., D.C.NPI 1952466542
Title
Ceo
Phone
(952) 443-3710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4549 MN Primary

Addresses

Primary practice location

1405 78TH St
Suite 100
Victoria, MN 55386-9723

Mailing address

1405 78TH St Ste 100
PO Box 93
Victoria, MN 55386-9723
Phone (952) 443-3710

National Provider Directory

National Provider Directory

Locations

1405 78th St
Ste 100
Victoria, MN 55386
Phone (952) 443-3710

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1477764587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 78TH ST STE 100",
            "address_2": "PO BOX 93",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553869723",
            "telephone_number": "952-443-3710",
            "fax_number": "952-443-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 78TH ST",
            "address_2": "SUITE 100",
            "city": "VICTORIA",
            "state": "MN",
            "postal_code": "553869723",
            "telephone_number": "952-443-3710",
            "fax_number": "952-443-3761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC FAMILY CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "PAULY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "952-443-3710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "B.S., D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.