Organization Active NPI

Coon Rapids Chiropractic Health Services LTD

  • Chiropractor
  • Blaine, MN
National Provider Identifier
1679614010
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1421 Issued in MN
Legal business name
COON RAPIDS CHIROPRACTIC HEALTH SERVICES LTD
Practice address
9140 Baltimore St NE
Blaine, MN 55449-4382
Phone
(763) 757-7220
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Kathlyn Reed, D.C.
Title
President, Owner
Phone
(763) 757-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1421 MN Primary

Addresses

Primary practice location

9140 Baltimore St NE
Blaine, MN 55449-4382

Mailing address

9140 Baltimore St NE
Blaine, MN 55449-4382
Phone (763) 757-7220

National Provider Directory

National Provider Directory

Locations

9140 Baltimore St NE
Blaine, MN 55449
Phone (763) 757-7220

11245 Foley Blvd NW
Coon Rapids, MN 55448
Phone (763) 757-7220

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679614010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9140 BALTIMORE ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494382",
            "telephone_number": "763-757-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 BALTIMORE ST NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554494382",
            "telephone_number": "763-757-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COON RAPIDS CHIROPRACTIC HEALTH SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "KATHLYN",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "763-757-7220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "1421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, 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.

Verify at the official NPI Registry.