Crystal-New Hope Chiropractic Clinic P.a.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

1581 Issued in MN

Legal business name

CRYSTAL-NEW HOPE CHIROPRACTIC CLINIC P.A.

Practice address

6014 Shingle Creek Pkwy
Brooklyn Center, MN 55430-2316

Phone

(763) 533-6775

NPI assigned

Nov 9, 2006

Last updated

Jan 4, 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. Martin Von Iderstine, DCNPI 1457357626

Title

Owner

Phone

(763) 533-6775

Specialties & licenses 1

Addresses

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.

• Martin Robert Von Iderstine

  • Orthopedic Chiropractor
  • Robbinsdale, MN
  • NPI 1457357626
  Authorized official Same address or phone

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262563200000",
    "number": "1568533909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6014 SHINGLE CREEK PKWY",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302316",
            "telephone_number": "763-533-6775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6014 SHINGLE CREEK PKWY",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302316",
            "telephone_number": "763-533-6775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL-NEW HOPE CHIROPRACTIC CLINIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2010-01-04",
        "status": "A",
        "authorized_official_last_name": "VON IDERSTINE",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-533-6775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "MN",
            "license": "1581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rickeya Jo'Rhonda Crenshaw
• Crescent Cove
• Kennedy Cross
• John Crouse
• Roshee Cryer-Greene
• Cultivating Family Services, Inc
• Kylie Morgan Cunningham
• Jaime Sanger Cupit, DPT
• Jennifer Lynn Curran, LPCC
• Jaclynn Ashley Czech, M.ED., BCBA

• Orthopedic Chiropractor in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Orthopedic Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2010; 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.