Organization Active NPI

Nilsson Chiropractic

  • Chiropractor
  • Pine City, MN
National Provider Identifier
1609031483
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
001980 Issued in MN
Legal business name
NILSSON CHIROPRACTIC
Practice address
253 5TH St SE
Pine City, MN 55063-1511
Phone
(320) 629-2740
Fax
(320) 629-1272
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Joseph Norbert Nilsson, DCNPI 1306947494
Title
Doctor/Owner
Phone
(320) 629-2740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 001980 MN Primary

Addresses

Primary practice location

253 5TH St SE
Pine City, MN 55063-1511

Mailing address

253 5TH St SE
Pine City, MN 55063-1511
Phone (320) 629-2740

Other identifiers 1

IdentifierTypeStateIssuer
825227100MedicaidMN

National Provider Directory

National Provider Directory

Locations

253 5th St SE
Pine City, MN 55063
Phone (320) 629-2740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1609031483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 5TH ST SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631511",
            "telephone_number": "320-629-2740",
            "fax_number": "320-629-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 5TH ST SE",
            "city": "PINE CITY",
            "state": "MN",
            "postal_code": "550631511",
            "telephone_number": "320-629-2740",
            "fax_number": "320-629-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NILSSON CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "NILSSON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "NORBERT",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "320-629-2740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "001980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825227100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pine City, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.