Discover Life Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4968 Issued in MN

Legal business name

DISCOVER LIFE CHIROPRACTIC, LLC

Practice address

4820 W 77TH St
Suite 130
Edina, MN 55435-4815

Phone

(952) 426-3554

NPI assigned

Mar 14, 2012

Last updated

Mar 14, 2012By 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. Mathias Pamer, D.C.

Title

President

Phone

(419) 529-2706

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1558636225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 W 77TH ST",
            "address_2": "SUITE 130",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 W 77TH ST",
            "address_2": "SUITE 130",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354815",
            "telephone_number": "952-426-3554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVER LIFE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "PAMER",
        "authorized_official_first_name": "MATHIAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-529-2706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana K Dinero, CRNA
• Amber E Dionne, PA-C
• Dianna Dipalermo, OTR
• Carolyn Disch, LICSW
• Discover Chiropractic Center, P.C.
• Nicole M Dishong, CNM
• Steven Mark Dittes, M.D.
• Diversity Healthcare LLC
• Mike Dixey, PT
• Doctor's House

• Chiropractor in Edina, MN
• Providers in Edina, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.