Evergreen Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

EVERGREEN CHIROPRACTIC

Practice address

3454 Rice St
Saint Paul, MN 55126-3044

Phone

(651) 483-4321

NPI assigned

May 3, 2023

Last updated

Nov 28, 2023By 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

Andreas Ezer, DCNPI 1720622806

Title

Owner/Chiropractor

Phone

(715) 216-5961

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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.

• Andreas Ezer, DC

  • Chiropractor
  • Saint Paul, MN
  • NPI 1720622806
  Medicare reassignment Care Compare group NPD Authorized official
• Maya Ann Ezer, D.C.

  • Chiropractor
  • Saint Paul, MN
  • NPI 1306483052
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701129600000",
    "number": "1548959737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551263044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 RICE ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551263044",
            "telephone_number": "651-483-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A",
        "authorized_official_last_name": "EZER",
        "authorized_official_first_name": "ANDREAS",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "715-216-5961",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evening Chiropractic Clinic LLC
• Alayna Evens, WHNP-BC
• Everest Service Corporation
• Simon Everest
• Telesea Chantelle Everett, LICSW
• Evergreen Health Services PLC
• Evergreen Home Healthcare
• Evergreen Mental Health Services, Inc
• Evergreen Recovery
• Evergreen Recovery Clinical Laboratory

• Chiropractor in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.