Organization Active NPI

Specific Family Chiropractic, LLC

  • Chiropractor
  • Maplewood, MN
National Provider Identifier
1497821433
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPECIFIC FAMILY CHIROPRACTIC, LLC
Practice address
2785 White Bear Ave N
108
Maplewood, MN 55109-1307
Phone
(651) 415-0418
Fax
(651) 415-0106
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Authorized official

Name
Dr. Joseph George Biernat III, D.C.
Title
Chiropractor
Phone
(651) 415-0418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2785 White Bear Ave N
108
Maplewood, MN 55109-1307

Mailing address

2785 White Bear Ave N
108
Maplewood, MN 55109-1307
Phone (651) 415-0418

Other identifiers 1

IdentifierTypeStateIssuer
00D05SPOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

1285 Cope Ave E
Ste 500
Maplewood, MN 55109
Phone (651) 415-0418

2785 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 415-0418

2785 White Bear Ave N
#108
Saint Paul, MN 55109
Phone (651) 282-0948

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1497821433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N",
            "address_2": "108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091307",
            "telephone_number": "651-415-0418",
            "fax_number": "651-415-0106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 WHITE BEAR AVE N",
            "address_2": "108",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091307",
            "telephone_number": "651-415-0418",
            "fax_number": "651-415-0106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIFIC FAMILY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "BIERNAT",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "651-415-0418",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00D05SP",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.