Cedar South Chiropractic, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3740 Issued in MN

Legal business name

CEDAR SOUTH CHIROPRACTIC, P.A.

Practice address

14135 Cedar Ave
Suite 400
Apple Valley, MN 55124-4522

Phone

(952) 432-5550

Fax

(952) 432-0057

NPI assigned

Aug 16, 2010

Last updated

Aug 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Aza Senecal, D.C.NPI 1063544906

Title

President

Phone

(952) 432-5550

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Aza Senecal, D.C.

  • Chiropractor
  • Apple Valley, MN
  • NPI 1063544906
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1508171497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14135 CEDAR AVE",
            "address_2": "SUITE 400",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244522",
            "telephone_number": "952-432-5550",
            "fax_number": "952-432-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14135 CEDAR AVE",
            "address_2": "SUITE 400",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551244522",
            "telephone_number": "952-432-5550",
            "fax_number": "952-432-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR SOUTH CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "SENECAL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "AZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-432-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Apple Valley, MN
• Providers in Apple Valley, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.