Mighty Oak Chiropractic, PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4051 Issued in MN

Legal business name

MIGHTY OAK CHIROPRACTIC, PLLC

Practice address

2233 Energy Park Dr
Suite 500
Saint Paul, MN 55108-1533

Phone

(651) 646-2233

NPI assigned

Mar 19, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Rodd Bruntjen, D.C.

Title

Chiropractor

Phone

(651) 646-2233

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363651200000",
    "number": "1487996385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 ENERGY PARK DR",
            "address_2": "SUITE 500",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081533",
            "telephone_number": "651-646-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 ENERGY PARK DR",
            "address_2": "SUITE 500",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551081533",
            "telephone_number": "651-646-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIGHTY OAK CHIROPRACTIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-19",
        "last_updated": "2013-03-19",
        "status": "A",
        "authorized_official_last_name": "BRUNTJEN",
        "authorized_official_first_name": "RODD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-646-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2013; 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.