Farmington Chiropractic Clinic PA

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2830 Issued in MN

Legal business name

FARMINGTON CHIROPRACTIC CLINIC PA

Practice address

115 Elm St Ste F
Farmington, MN 55024-1031

Phone

(651) 463-7662

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Steve Gliva

Title

Owner

Phone

(651) 463-7662

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1619196698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 ELM ST STE F",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550241031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ELM ST STE F",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550241031",
            "telephone_number": "651-463-7662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FARMINGTON CHIROPRACTIC CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "GLIVA",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-463-7662",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "4C526FA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Samuel Emond Jr., M.D.
• Amanda Marie Everhart, M.D.
• Fairview Clinics
• Family Chiropractic Center, PA
• Family Vision Clinic of Farmington
• Farmington Health Services
• Farmington Health Services
• Farmington Health Services
• Joel Alan Fenske, DC
• Fink Family Chiropractic, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.