NPIMap

Organization Active NPI

Stonebridge Chiropractic Inc.

  • Chiropractor
  • Richfield, MN
National Provider Identifier
1578945366
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5994 Issued in MN
Legal business name
STONEBRIDGE CHIROPRACTIC INC.
Practice address
1300 E 66TH St
Suite 100
Richfield, MN 55423-2684
Phone
(612) 354-3165
NPI assigned
Jun 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Authorized official

Name
Dr. Eda B Olson, DC
Title
Doctor/Owner
Phone
(612) 354-3165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5994 MN Primary

Addresses

Primary practice location

1300 E 66TH St
Suite 100
Richfield, MN 55423-2684

Mailing address

1300 E 66TH St
Suite 100
Richfield, MN 55423-2684
Phone (612) 354-3165

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1578945366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 E 66TH ST",
            "address_2": "SUITE 100",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232684",
            "telephone_number": "612-354-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 66TH ST",
            "address_2": "SUITE 100",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554232684",
            "telephone_number": "612-354-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONEBRIDGE CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "EDA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "612-354-3165",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; 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.