River Valley Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3102 Issued in MN

Legal business name

RIVER VALLEY FAMILY CHIROPRACTIC

Practice address

210 N Meridian St
Suite #1
Belle Plaine, MN 56011-1828

Phone

(952) 873-4275

Fax

(952) 873-4288

NPI assigned

Nov 13, 2006

Last updated

Sep 14, 2007By 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

Mr. Steven Arnold Gansen, DCNPI 1265629885

Title

Doctor of Chiropractic

Phone

(952) 873-4275

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Steven Arnold Gansen, DC

  • Chiropractor
  • Belle Plaine, MN
  • NPI 1265629885
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1548331127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 N MERIDIAN ST",
            "address_2": "SUITE #1",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111828",
            "telephone_number": "952-873-4275",
            "fax_number": "952-873-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N MERIDIAN ST",
            "address_2": "SUITE #1",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111828",
            "telephone_number": "952-873-4275",
            "fax_number": "952-873-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "GANSEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "952-873-4275",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "3C336RI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Belle Plaine, MN
• Providers in Belle Plaine, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.