Organization Active NPI

Pfeiffer Chiropractic Clinic, Inc.

  • Chiropractor
  • Wyoming, MN
National Provider Identifier
1679707459
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3302 Issued in MN
Legal business name
PFEIFFER CHIROPRACTIC CLINIC, INC.
Practice address
5321 E Viking Blvd
Wyoming, MN 55092-8014
Phone
(651) 462-7800
Fax
(651) 462-9352
NPI assigned
May 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Authorized official

Name
Dr. Brenda Kay Pfeiffer, D.C.NPI 1578621983
Title
Chiropractor/Owner
Phone
(651) 462-7800

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3302 MN Primary

Addresses

Primary practice location

5321 E Viking Blvd
Wyoming, MN 55092-8014

Mailing address

5321 E Viking Blvd
P.O. Box 609
Wyoming, MN 55092-8014
Phone (651) 462-7800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090608000536 MN Part B Supplier - Clinic/Group Practice 8729138029 Receives reassigned benefits from 1 practitioner
Practice locations: Wyoming, MN

National Provider Directory

National Provider Directory

Locations

5321 E Viking Blvd
Wyoming, MN 55092
Phone (651) 462-7800

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": "1241740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1679707459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 E VIKING BLVD",
            "address_2": "P.O. BOX 609",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928014",
            "telephone_number": "651-462-7800",
            "fax_number": "651-462-9352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 E VIKING BLVD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928014",
            "telephone_number": "651-462-7800",
            "fax_number": "651-462-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PFEIFFER CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-08",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "PFEIFFER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "651-462-7800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "3302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.