Organization Active NPI

Fink Family Chiropractic, PA

  • Chiropractor
  • Farmington, MN
National Provider Identifier
1609920826
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4666 Issued in MN
Legal business name
FINK FAMILY CHIROPRACTIC, PA
Doing business as
Integrity Chiropractic
Practice address
18598 Elk River TRL
Suite 103
Farmington, MN 55024-8674
Phone
(651) 428-2247
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Dr. Zachary Gilbert Larson, D.C.
Title
Owner
Phone
(651) 428-2247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4666 MN Primary

Addresses

Primary practice location

18598 Elk River TRL
Suite 103
Farmington, MN 55024-8674

Mailing address

18556 Pilot Knob Rd
Suite 103
Farmington, MN 55024-8674
Phone (651) 428-2247

Other identifiers 2

IdentifierTypeStateIssuer
313P2INOtherMNBCBS
758790200MedicaidMN

Other names 1

  • Integrity Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

18556 Pilot Knob Rd
Ste 103
Farmington, MN 55024
Phone (651) 428-2247

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1609920826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18556 PILOT KNOB RD",
            "address_2": "SUITE 103",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550248674",
            "telephone_number": "651-428-2247",
            "fax_number": "651-463-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18598 ELK RIVER TRL",
            "address_2": "SUITE 103",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550248674",
            "telephone_number": "651-428-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINK FAMILY CHIROPRACTIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-428-2247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "313P2IN",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "758790200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.