Organization Active NPI

Gerald a Madir

  • Clinic/Center
  • Bloomington, MN
National Provider Identifier
1497957104
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1447 Issued in MN
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

Updated by the provider on Jun 23, 2008

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.