Foundation Interests Group, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5904 Issued in MN

Legal business name

FOUNDATION INTERESTS GROUP, P.C.

Doing business as

Specific Chiropractic

Practice address

2001 2ND St SW
Suite 125
Rochester, MN 55902-4156

Phone

(507) 320-1555

NPI assigned

Jun 2, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Mickelson, D.C.

Title

President

Phone

(507) 320-1555

Specialties & licenses 1

Addresses

Other names 1

• Specific Chiropractic Doing business as

Locations

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1558719393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 40TH ST NW",
            "address_2": "SUITE 217",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559014248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 2ND ST SW",
            "address_2": "SUITE 125",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559024156",
            "telephone_number": "507-320-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION INTERESTS GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "MICKELSON",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-320-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Specific Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaleb A Foster, MD
• Lance Foster
• Mary Foster, RDN, LD
• Trenton Foster
• Kristina E Foulke I, DNP, APRN, CRNA
• Foundations Therapy
• Four Corners Counseling LLC
• Luann Therese Fowler, APNP
• Jean C Fox, M.D.
• Jonathan Frederick Fox, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.