Active NPI
Brandon Mannie D.C. LLC
Doing business as DBA Cliff Road Chiropractic
- Chiropractor
- Eagan, MN
National Provider Identifier
1629135819
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4553
- Legal business name
- BRANDON MANNIE D.C. LLC
- Doing business as
- DBA Cliff Road Chiropractic
- Practice address
- 4555 Erin Dr
210
Eagan, MN 55122-3398 - Phone
- (651) 452-2225
- Fax
- (651) 686-6871
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brandon David Mannie, D.C.
- Title
- Chiropractor
- Phone
- (651) 452-2225
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4553 | MN | Primary |
Addresses
Primary practice location
4555 Erin Dr
210
Eagan, MN 55122-3398
Mailing address
4555 Erin Drive
210
Eagan, MN 55122
Phone (651) 452-2225
Other names 1
- DBA Cliff Road Chiropractic
National Provider Directory
National Provider Directory- Tax ID family
- Brandon Mannie DC LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Chiropractor
- Eagan, MN
- NPI 1295817294
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Apple Valley, MN
- NPI 1811005085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1629135819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 ERIN DRIVE",
"address_2": "210",
"city": "EAGAN",
"state": "MN",
"postal_code": "55122",
"telephone_number": "651-452-2225",
"fax_number": "651-686-6871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4555 ERIN DR",
"address_2": "210",
"city": "EAGAN",
"state": "MN",
"postal_code": "551223398",
"telephone_number": "651-452-2225",
"fax_number": "651-686-6871"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRANDON MANNIE D.C. LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANNIE",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "651-452-2225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "MN",
"license": "4553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DBA Cliff Road Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.