Healthsource Chiropractic and Progressive Rehab-Richfield, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5672 Issued in MN

Legal business name

HEALTHSOURCE CHIROPRACTIC AND PROGRESSIVE REHAB-RICHFIELD, P.A.

Practice address

3300 Edinborough Way Ste 100
Edina, MN 55435-5957

Phone

(612) 383-6909

NPI assigned

Sep 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Seth Michael Bird, D.C.

Title

President

Phone

(612) 845-8626

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.

• Geroise Lott

  • Massage Therapist
  • Edina, MN
  • NPI 1174264451
  NPD

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1588915722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355957",
            "telephone_number": "612-383-6909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EDINBOROUGH WAY STE 100",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554355957",
            "telephone_number": "612-383-6909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSOURCE CHIROPRACTIC AND PROGRESSIVE REHAB-RICHFIELD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-845-8626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hearing Health Inc
• Heart Healthy Living Exercise Classes, Inc. (Heart Healthy Living)
• Heartland Health LLC
• Aicha Bennetta Heassler

• 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 Feb 13, 2024; 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.