Active NPI
Alec James Thune, DC
- Chiropractor
- Plymouth, MN
National Provider Identifier
1619673274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7039
- Practice address
- 4455 Highway 169 N Ste 200
Plymouth, MN 55442-2898 - Phone
- (763) 557-9032
- Fax
- (763) 557-9838
- NPI assigned
- Feb 6, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 7039 | MN | Primary |
Addresses
Primary practice location
4455 Highway 169 N Ste 200
Plymouth, MN 55442-2898
Mailing address
4455 Highway 169 N Ste 200
Plymouth, MN 55442-2898
Phone (763) 557-9032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7039 | MN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1619673274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4455 HIGHWAY 169 N STE 200",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554422898",
"telephone_number": "763-557-9032",
"fax_number": "763-557-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 HIGHWAY 169 N STE 200",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554422898",
"telephone_number": "763-557-9032",
"fax_number": "763-557-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THUNE",
"first_name": "ALEC",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "7039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.