Organization Active NPI

Elk River Chiropractic,P.a.

  • Primary Care Clinic/Center
  • Elk River, MN
National Provider Identifier
1598073579
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
1850 Issued in MN
Legal business name
ELK RIVER CHIROPRACTIC,P.A.
Practice address
653 Main St NW
Elk River, MN 55330-1502
Phone
(763) 441-2411
NPI assigned
Sep 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Dr. Jordan Alberts, D.C.
Title
President
Phone
(763) 441-2411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 1850 MN Primary

Addresses

Primary practice location

653 Main St NW
Elk River, MN 55330-1502

Mailing address

653 Main St NW
Elk River, MN 55330-1502

Other identifiers 1

IdentifierTypeStateIssuer
27247RAOtherMNBCBS

National Provider Directory

National Provider Directory

Locations

653 Main St NW
Elk River, MN 55330
Phone (612) 900-8546

NPI Registry JSON

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1598073579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 MAIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "653 MAIN ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553301502",
            "telephone_number": "763-441-2411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK RIVER CHIROPRACTIC,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-23",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "ALBERTS",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-441-2411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MN",
            "license": "1850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27247RA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.