Active NPI
Molly Lane Bird, D.C.
- Chiropractor
- Saint Paul, MN
National Provider Identifier
1487089165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5839
- Practice address
- 1053 Grand Ave Ste 114
Saint Paul, MN 55105-3074 - Phone
- (651) 292-9247
- Fax
- (651) 348-6367
- NPI assigned
- Sep 12, 2013
- Last updated
- Mar 26, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 5839 | MN | Primary |
Addresses
Primary practice location
1053 Grand Ave Ste 114
Saint Paul, MN 55105-3074
Mailing address
12770 Germane Ave
Apt 303
Apple Valley, MN 55124-6794
Phone (314) 580-8424
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5839 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395792000000",
"number": "1487089165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12770 GERMANE AVE",
"address_2": "APT 303",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551246794",
"telephone_number": "314-580-8424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 GRAND AVE STE 114",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551053074",
"telephone_number": "651-292-9247",
"fax_number": "651-348-6367"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "MOLLY",
"middle_name": "LANE",
"name_prefix": "Ms.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-12",
"last_updated": "2014-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "5839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, MN
- Robert Dell Binger, M.A.,L.P.C.
- Emily S Binstadt, MD
- Bio-Medical Applications of Minnesota, Inc. (Fresenius Kidney Care Midway-St. Paul)
- Bio-Medical Applications of Minnesota, Inc. (Fresenius Medical Care of St. Paul)
- Karen Bird
- Taylor Marie Bird
- Ana Ruth Birklid
- Steven Biro, M.D.
- Blaine Anthony Birtzer, DAT, LAT, ATC
- Nicole Rene Bisbee, MSW, LICSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.