South Shakopee Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MBCE3466 Issued in MN

Legal business name

SOUTH SHAKOPEE CHIROPRACTIC

Practice address

1830 Marschall Rd
Shakopee, MN 55379-3310

Phone

(952) 451-3761

Fax

(952) 403-1006

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By 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. Donovan Michael Hayostek, D.C.NPI 1669590931

Title

Owner

Phone

(952) 451-3761

Specialties & licenses 1

Addresses

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.

• Donovan Michael Hayostek, D.C.

  • Chiropractor
  • Shakopee, MN
  • NPI 1669590931
  NPD (past) Authorized official

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1609061944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 MARSCHALL RD",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793310",
            "telephone_number": "952-451-3761",
            "fax_number": "952-403-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 MARSCHALL RD",
            "city": "SHAKOPEE",
            "state": "MN",
            "postal_code": "553793310",
            "telephone_number": "952-451-3761",
            "fax_number": "952-403-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHAKOPEE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "HAYOSTEK",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-451-3761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "MBCE3466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Shakopee, MN
• Providers in Shakopee, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.