NPIMap

Organization Active NPI

Moritko Chiropractic, P.a.

  • Chiropractor
  • Golden Valley, MN
National Provider Identifier
1629326871
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3064 Issued in MN
Legal business name
MORITKO CHIROPRACTIC, P.A.
Practice address
810 Lilac Dr N
#120
Golden Valley, MN 55422-4656
Phone
(763) 588-5000
NPI assigned
Aug 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Authorized official

Name
Dr. Lawrence Edward Moritko, D.C.
Title
Owner
Phone
(763) 588-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 3064 MN Primary

Addresses

Primary practice location

810 Lilac Dr N
#120
Golden Valley, MN 55422-4656

Mailing address

810 Lilac Dr N
#210
Golden Valley, MN 55422-4656
Phone (763) 205-5519

National Provider Directory

National Provider Directory

Locations

810 Lilac Dr N
Ste 120
Golden Valley, MN 55422
Phone (763) 588-5000

810 Lilac Dr N
Ste 210
Golden Valley, MN 55422

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1629326871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 LILAC DR N",
            "address_2": "#210",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224656",
            "telephone_number": "763-205-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 LILAC DR N",
            "address_2": "#120",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554224656",
            "telephone_number": "763-588-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORITKO CHIROPRACTIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "MORITKO",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-588-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.