Active NPI
Gerald a Madir
- Clinic/Center
- Bloomington, MN
National Provider Identifier
1497957104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 1447
- Legal business name
- GERALD A MADIR
- Practice address
- 9336 Ensign Ave S
Bloomington, MN 55438-1455 - Phone
- (952) 942-5170
- Fax
- (952) 942-6295
- NPI assigned
- Jun 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gerald A Madir, D.C.
- Title
- Sole Proprietor
- Phone
- (952) 942-5170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 1447 | MN | Primary |
Addresses
Primary practice location
9336 Ensign Ave S
Bloomington, MN 55438-1455
Mailing address
9336 Ensign Ave S
Bloomington, MN 55438-1455
Phone (952) 942-5170
Other names 1
- Amsden Way Chiropractic
National Provider Directory
National Provider DirectoryLocations
9336 Ensign Ave S
Minneapolis, MN 55438
Phone (952) 829-0100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Bloomington, MN
- NPI 1598899072
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214179200000",
"number": "1497957104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9336 ENSIGN AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554381455",
"telephone_number": "952-942-5170",
"fax_number": "952-942-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9336 ENSIGN AVE S",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554381455",
"telephone_number": "952-942-5170",
"fax_number": "952-942-6295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERALD A MADIR",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2008-06-23",
"status": "A",
"authorized_official_last_name": "MADIR",
"authorized_official_first_name": "GERALD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "SOLE PROPRIETOR",
"authorized_official_telephone_number": "952-942-5170",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "MN",
"license": "1447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amsden Way Chiropractic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.