NPIMap

Organization Active NPI

Finish Line Chiropractic P.a.

Doing business as Finish Line Chiropractic

  • Chiropractor
  • Savage, MN
National Provider Identifier
1639349269
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5677 Issued in MN
Legal business name
FINISH LINE CHIROPRACTIC P.A.
Doing business as
Finish Line Chiropractic
Practice address
4401 Egan Dr Ste 100
Savage, MN 55378
Phone
(952) 746-4162
Fax
(952) 808-3112
NPI assigned
Mar 11, 2008
Last updated
Oct 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Authorized official

Name
James Robert Midboe, DCNPI 1487908984
Title
Owner
Phone
(218) 209-1429

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 5677 MN Primary

Addresses

Primary practice location

4401 Egan Dr Ste 100
Savage, MN 55378

Mailing address

4401 Egan Dr Ste 100
Savage, MN 55378-2024
Phone (952) 746-4162

Other practice location 1

400 Wabasha St N Ste 390
Saint Paul, MN 55102-1147
Phone (651) 346-3848

Other names 1

  • Finish Line Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

4401 Egan Dr
#100
Savage, MN 55378
Phone (952) 746-4162

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1639349269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 EGAN DR STE 100",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "553782024",
            "telephone_number": "952-746-4162",
            "fax_number": "952-808-3112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 EGAN DR STE 100",
            "city": "SAVAGE",
            "state": "MN",
            "postal_code": "55378",
            "telephone_number": "952-746-4162",
            "fax_number": "952-808-3112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Wabasha St N Ste 390",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551021147",
            "country_code": "US",
            "telephone_number": "651-346-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FINISH LINE CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "MIDBOE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-209-1429",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Finish Line Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Finish Line Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Savage, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.