Ichiro Health Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ICHIRO HEALTH CLINIC

Practice address

2345 Rice St Ste 128
Roseville, MN 55113-3741

Phone

(651) 348-2338

NPI assigned

Sep 19, 2018

Organization subpart

No

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

Authorized official

Name

Palmer Lor Xieng Yang, DC

Title

President

Phone

(651) 348-2338

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1487138012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 RICE ST STE 128",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133741",
            "telephone_number": "651-348-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 RICE ST STE 128",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133741",
            "telephone_number": "651-348-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICHIRO HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "PALMER",
        "authorized_official_middle_name": "LOR XIENG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-348-2338",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.