Organization Active NPI

Marty Chiropractic Hopkins P.a.

  • Chiropractor
  • Hopkins, MN
National Provider Identifier
1669923413
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2596 Issued in MN
Legal business name
MARTY CHIROPRACTIC HOPKINS P.A.
Practice address
17 10TH Ave S
Hopkins, MN 55343-7505
Phone
(952) 927-6639
Fax
(763) 568-7347
NPI assigned
Oct 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Authorized official

Name
Tammy Day
Title
Business Office
Phone
(763) 205-0165

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2596 MN Primary

Addresses

Primary practice location

17 10TH Ave S
Hopkins, MN 55343-7505

Mailing address

17 10TH Ave S
Hopkins, MN 55343-7505
Phone (952) 927-6639

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170320001650 MN Part B Supplier - Clinic/Group Practice 1355626037 Receives reassigned benefits from 1 practitioner
Practice locations: Hopkins, MN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1669923413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 10TH AVE S",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437505",
            "telephone_number": "952-927-6639",
            "fax_number": "763-568-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 10TH AVE S",
            "city": "HOPKINS",
            "state": "MN",
            "postal_code": "553437505",
            "telephone_number": "952-927-6639",
            "fax_number": "763-568-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTY CHIROPRACTIC HOPKINS P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "DAY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BUSINESS OFFICE",
        "authorized_official_telephone_number": "763-205-0165"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkins, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.